Advances in treating exposed fractures

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGIGLIO, Pedro Nogueira
dc.contributor.authorCRISTANTE, Alexandre Fogaça
dc.contributor.authorPÉCORA, José Ricardo
dc.contributor.authorHELITO, Camilo Partezani
dc.contributor.authorLIMA, Ana Lucia Lei Munhoz
dc.contributor.authorSILVA, Jorge dos Santos
dc.date.accessioned2015-09-11T18:02:31Z
dc.date.available2015-09-11T18:02:31Z
dc.date.issued2015
dc.description.abstractThe management of exposed fractures has been discussed since ancient times and remains of great interest to present-day orthopedics and traumatology. These injuries are still a challenge. Infection and nonunion are feared complications. Aspects of the diagnosis, classification and initial management are discussed here. Early administration of antibiotics, surgical cleaning and meticulous debridement are essential. The systemic conditions of patients with multiple trauma and the local conditions of the limb affected need to be taken into consideration. Early skeletal stabilization is necessary. Definitive fixation should be considered when possible and provisional fixation methods should be used when necessary. Early closure should be the aim, and flaps can be used for this purpose.
dc.description.abstractO manejo das fraturas expostas é discutido desde a antiguidade e permanece de grande interesse da ortopedia e da traumatologia modernas. São lesões ainda desafiadoras. Infecção e não união são complicações temidas. Aspectos no diagnóstico, classificação e manejo inicial são discutidos. São essenciais a administração precoce de antibióticos, a limpeza cirúrgica e o debridamento meticuloso. Devem ser levadas em consideração as condições sistêmicas do paciente politraumatizado e as condições locais do membro acometido. A estabilização esquelética precoce é necessária. A fixação definitiva deve ser considerada quando possível e métodos de fixação provisória devem ser usados quando necessário. O fechamento precoce deve ser almejado e pode-se fazer uso de retalhos para esse fim.
dc.description.indexSciELO
dc.identifier.citationREVISTA BRASILEIRA DE ORTOPEDIA, v.50, n.2, p.125-130, 2015
dc.identifier.doi10.1016/j.rboe.2015.02.009
dc.identifier.issn1982-4378
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/10645
dc.language.isoeng
dc.publisherSociedade Brasileira de Ortopedia e Traumatologia
dc.relation.ispartofRevista Brasileira de Ortopedia
dc.rightsopenAccess
dc.rights.holderCopyright Sociedade Brasileira de Ortopedia e Traumatologia
dc.subjectExposed fractures/diagnosis
dc.subjectExposed fractures/classification
dc.subjectWounds and injuries
dc.subjectFraturas expostas
dc.subjectFerimentos e lesões
dc.subject.wosOrthopedics
dc.titleAdvances in treating exposed fractures
dc.title.alternativeAvanços no tratamento das fraturas expostas
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus5
hcfmusp.contributor.author-fmusphcPEDRO NOGUEIRA GIGLIO
hcfmusp.contributor.author-fmusphcALEXANDRE FOGACA CRISTANTE
hcfmusp.contributor.author-fmusphcJOSE RICARDO PECORA
hcfmusp.contributor.author-fmusphcCAMILO PARTEZANI HELITO
hcfmusp.contributor.author-fmusphcANA LUCIA LEI MUNHOZ LIMA
hcfmusp.contributor.author-fmusphcJORGE DOS SANTOS SILVA
hcfmusp.description.beginpage125
hcfmusp.description.endpage130
hcfmusp.description.issue2
hcfmusp.description.volume50
hcfmusp.origemsciELO
hcfmusp.origem.pubmed26229904
hcfmusp.origem.scieloSCIELO:S0102-36162015000200125
hcfmusp.origem.scopus2-s2.0-85000607425
hcfmusp.publisher.citySão Paulo
hcfmusp.publisher.countryBRAZIL
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hcfmusp.scopus.lastupdate2024-04-12
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