8 papers · updated 2026-11-02 · Orthopaedic Trauma · All topics
The newest papers on open fractures from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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In 10 patients with severe forearm trauma or amputations from industrial machinery, the pull-in suture for musculotendinous avulsions gave fair hand function (DASH 28.7), a viable option when other primary repairs aren't feasible.
Chlorohexidine achieved complete bacterial disinfection of contaminated cortical bone without affecting mechanical properties; autoclave was effective but reduced strength.
Management of Open Fractures of the Extremities and Pediatrics.
This review updates current evidence and controversies on antibiotic timing, surgical timing, and flap coverage in managing open extremity fractures in adults and children.
Advances in Soft Tissue Injuries Associated with Open Fractures.
This review addresses soft tissue management in open upper extremity fractures, covering fixation, negative pressure wound therapy, dermal regenerative templates, and local and free tissue options for hand reconstruction.
Open fractures of the upper limb - do the BOAST guidelines need an update?
This scoping review finds that open upper limb fractures have lower infection rates than lower limb injuries, suggesting BOAST timing could be relaxed in selected cases, though early antibiotics and debridement within 24 hours remain key.
Prevention of infection in open fractures: Where are the pendulums now?
Review of open fracture infection prevention supports early thorough debridement with saline irrigation, early wound closure/coverage, and systemic plus local antibiotics; VAC shows no infection benefit, while rhBMP-2 may help in type III tibial fractures.
Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations.
Reviews the evolution of prophylactic antibiotics for open fractures guided by Gustilo-Anderson type, noting that duration and drug choice remain unstandardized and coverage of resistant organisms is unresolved.
Wound Irrigation for Open Fractures.
This review of open fracture wound irrigation finds normal saline to be the optimal agent, with pressure and pulsatile lavage not affecting outcomes, while ideal timing and volume still need clinical trials.
A structured protocol of debridement, culture-guided closure, and prophylactic antibiotics dramatically reduced infection rates in open long bone fractures, including severe Type III injuries.
A prophylactic protocol combining debridement, staged closure, and perioperative antibiotics dramatically reduced infection rates in over 1,000 open long bone fractures, even in severe Type III injuries.
Negative Pressure Wound Therapy After Severe Open Fractures: A Prospective Randomized Study
In a randomized trial, negative pressure wound therapy after severe open fractures cut deep infection rates roughly fivefold compared to standard gauze dressings.
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