Acute Contaminated Open Forearm Fractures Treated With VersaJet Hydrosurgical Débridement
Male
Fracture Fixation, Internal
Young Adult
03 medical and health sciences
0302 clinical medicine
Debridement
Humans
Bacterial Infections
Radius Fractures
Ulna Fractures
Bone Wires
DOI:
10.1097/bot.0b013e3181ca48f2
Publication Date:
2010-06-18T12:30:42Z
AUTHORS (2)
ABSTRACT
The ideal method of irrigation and débridement for severe extremity wounds has yet to be determined. This report demonstrates the use of hydrosurgical débridement in the treatment of highly contaminated acute forearm fractures in a 22-year-old man ejected during a motor vehicle crash in a farm area. The result was rapid, selective, and effective débridement of deeply embedded material, which allowed for expeditious reconstruction with internal fixation, tendon transfers, and groin flap coverage while avoiding infection and injury to vital structures. The technique is described in detail and the current literature is reviewed.
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