ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2018
The principles and practice of open fracture care, 2018.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06193330 (Use of Antibiotics-cement Coated Plate in the Treatment of Gustilo-Anderson Type III Long Bone Fractures in Low- and Middle-income Countries vs External Fixation), which is not on this map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Use of Antibiotics-cement Coated Plate in the Treatment of Gustilo-Anderson Type III Long Bone Fractures in Low- and Middle-income Countries vs External Fixation: A Multi-centre Randomized Control Trial
Who cites it
23 citing papers in PubMed.
- The First Decisions Matter: Integrating Stability, Biology, and Reconstruction in Open Fracture Care.Journal of orthopaedic case reports · 2026Article
- Locking Plate Fixators for Infected Extra-articular Long Bone Fractures without Bone Loss.Journal of orthopaedic case reports · 2025Article
- Combined effects of low temperature, hyperosmolarity and seawater-conditioned pathogens on open fracture healing in a rat model simulating circumpolar environments.Journal of orthopaedic surgery and research · 2025Article
- Multistage surgical strategy combining bone transport and antibiotic cement in a complex lower extremity crush injury: achieving limb salvage and infection control.BMC musculoskeletal disorders · 2025Article
- Dependability of Procalcitonin as an Early Predictor of Infection in Open Fractures: An Observational Study.Cureus · 2024Article
- Temporary circular external fixation for effective management of bilateral radial non-union in a Toy Poodle.Open veterinary journal · 2024Article
- Long-term musculoskeletal function after Open Pelvic ring fractures in Children (OPEC); a multicentre, retrospective case series with follow-up measurement.Trauma case reports · 2024Article
- [Application of antibiotic bone cement-coated plates internal fixation for primary treating Gustilo typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- TIME UNTIL THE START OF ANTIBIOTIC PROPHYLAXIS AND THE RISK OF OPEN FRACTURE INFECTION: A SYSTEMATIC REVIEW.Acta ortopedica brasileira · 2024Review
- A novel primary antibiotic cement-coated locking plate as a temporary fixation for the treatment of open tibial fracture.Scientific reports · 2023Article
- Triple-functional bone adhesive with enhanced internal fixation, bacteriostasis and osteoinductive properties for open fracture repair.Bioactive materials · 2023Article
- Locked intramedullary nailing of open fractures in resource-poor settings: a prospective observational study of challenges and functional outcomes in 101 fractures at Ogbomoso, Nigeria.BMC musculoskeletal disorders · 2023Observational
- Infection complicating locked intramedullary nailing of open lower-extremity fractures: incidence, associated risk factors, and lessons for improving outcome in a low-resource setting.Journal of bone and joint infection · 2023Article
- Early Reconstruction Delivered Better Outcomes for Severe Open Fracture of Lower Extremities: A 15-Year Retrospective Study.Journal of clinical medicine · 2022Article
- Extremely rare combination of open dislocation of the ankle with superior type anterior hip dislocation without bone fracture: A case report.Clinical case reports · 2022Article
- Article
- Current pathogens infecting open fracture tibia and their antibiotic susceptibility at a tertiary care teaching hospital in South East Asia.Infection prevention in practice · 2022Article
- Continuous Local Antibiotic Perfusion (CLAP) for Post-operative Infection of Open Tibial Fractures: A Case Report.Journal of orthopaedic case reports · 2022Article
- One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?Acta bio-medica : Atenei Parmensis · 2021Article
- The effects of platelet-rich plasma combined with a skin flap transplant on open foot fractures with soft tissue defects.American journal of translational research · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debridement & lavage of the open wound with combined bony and soft tissue reconstruction. Good results depend on early high quality definitive surgery usually with early stable internal fixation and associated soft tissue repair. While all elements of the surgical principles are very important and depend on each other for overall success the most critical element appears to be achieving very early healthy soft tissue cover. As the injuries become more complex this involves progressively more complex soft tissue reconstruction and may even requiring urgent free tissue transfer requiring close co-operative care between orthopaedic and plastic surgeons. Data suggests that the best results are obtained when the whole surgical reconstruction is completed within 48-72 h.
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