• Contamination with dirt and debris and devitalization of the soft tissues increase the risk of infection and other complications
  • Cultures – not recommended either before or after debridement
  • Most infections at the sites of open fractures are caused by nosocomial bacteria 
  • Gustilo Anderson  classification for open fractures 
  • Antibiotics should be administered to a patient with an open fracture as soon as possible to reduce the risk of infection
  • Operative treatment within five hours was associated with a lower risk of infection

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