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1General considerations

Open fracture

Open fractures

These injuries are surgical emergencies requiring urgent debridement and reduction of bony fragments. The soft-tissue injury for the open wound is usually on the medial side. Often, temporizing percutaneous wire fixation is used to hold reductions while the soft tissues are healing before definitive bony reconstruction. 
This image shows a severe medial soft-tissue wound which could be closed at 3 days.