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5Soft-tissue care

“The most frequent causes of infections in patients with open fractures are: ...

Caveat - Prof. Harald Tscherne 1984

“The most frequent causes of infection in patients with open fractures are:

  • incomplete excision of poorly vascularized tissue, especially muscle, skin and bone
  • inadequate hemostasis and hematoma evacuation, and insufficient drainage of wound discharges and wound hematoma
  • devascularization of primarily viable tissue
  • large metallic fixation devices implanted under poorly vascularized tissue
  • wound closure under tension
  • a failure to recognise compartment syndrome.”