Evidence map›Paper›PMID 38708043›Full record

ArticleOTA international : the open access journal of orthopaedic trauma2024

Open fractures: evidence-based best practices.

Paul S Whiting, William Obremskey, Herman Johal, David Shearer, David Volgas, Zsolt J Balogh

Abstract read
In one paragraph

Article in OTA international : the open access journal of orthopaedic trauma, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  6. Review
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  9. The masquelet technique for severe open fractures: current insights.Journal of orthopaedic surgery and research · 2026
    Review
  10. Article
  11. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Paul S WhitingDepartment of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, Madison, WI.
William ObremskeyCenter for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN.
Herman JohalFoothills Medical Centre, University of Calgary, Calgary, AB, Canada.
David ShearerDepartment of Orthopaedic Surgery, University of California, San Francisco, UCSF Pride Hall, San Francisco, CA.
David VolgasUniversity of Missouri-Columbia, Springfield, MO.
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital, Newcastle, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Open fracture management is a common challenge to orthopaedic trauma surgeons and a burdensome condition to the patient, health care, and entire society. Fracture-related infection (FRI) is the leading morbid complication to avoid during open fracture management because it leads to sepsis, nonunion, limb loss, and overall very poor region-specific and general functional outcomes. This review, based on a symposium presented at the 2022 OTA International Trauma Care Forum, provides a practical and evidence-based summary on key strategies to prevent FRI in open fractures, which can be grouped as optimizing host factors, antimicrobial prophylaxis, surgical site management (skin preparation, debridement, and wound irrigation), provision of skeletal stability, and soft-tissue coverage. When it is applicable, strategies are differentiated between optimal resource and resource-limited settings.

Indexed as

antibiotic prophylaxisfracturefracture fixationfracture-related infectioninfectionirrigation and debridementopen fracturesoft-tissue coveragesoft-tissue defecttibia fracture

Identifiers

PMID38708043
PMCPMC11064778

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.