previous section: 3/7 page: 3/6 next

3Débridement

During the operation the wound is irrigated repeatedly with Betadine or Ringer’s solution. Following the débridement, ...

Tscherne & Gotzen’s book “Fractures with Soft Tissue Injuries” (1984. Springer-Verlag. pp.19-20) refers to the work of Rojcyk (1981) as follows: ”During the operation the wound is irrigated repeatedly with Betadine or Ringer’s solution. Following the débridement, all surgical instruments and attire are changed, and the wound is redraped as for a new operation. The benefits of this routine are demonstrated in a continuous series of 199 open fractures (see table). The number of positive microbiological smears decreases markedly from the initial contamination by the trauma to the end of the operation.”