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External fixators remain a standard in the management of most open fractures.
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However, rhBMP use in acute open tibial fractures might be more favorable economically when used in patients with the most severe open fractures (grade III open fractures) [ 46].
Most cases sustained isolated open fractures, but a significant proportion of injuries were in the context of polytrauma.
Most of the wounds are open fractures.
Open tibial shaft fractures are the most common of long-bone open fractures.
The results also identified that variations in rate of penetration and rotary torque show the most sensitivity in the presence of open fractures that intersect a vertical blasthole at near orthogonal angles.
The extent of these incapacitating injuries includes soft tissue wounds (53%) and fractures (26%), most of which (82%) were severe open fractures [ 13].
High failure rates are only seen in the most severe types of injury, such as open fractures (Gustilo type 3B and 3C).
One of the most important steps in the initial management of open fractures is a thorough wound irrigation and debridement to remove any contaminants.
The most severe and most common cause of deficient healing is osteomyelitis (bone infection) associated with open fractures, which permit direct access for disease-causing organisms.
The 105 open fractures sustained by the study population most frequently involved the tibia (38/105 = 36.2%) or forearm (22/105 = 21.0%).
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