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4Débridement and irrigation

Debridement does not necessarily need to be through the open fracture wound.

Débridement does not necessarily need to be through the open fracture wound. In fact, in certain situations it may be advisable to incorporate the débridement through the planned surgical approach for fracture fixation so as to avoid additional trauma to the injured soft tissues.
The initial débridement thus requires consideration of, and planning for, the definitive surgery.