Benghazi University, Libya
Title: Open fracture, evaluation, management prospective and retrospective for 500 hundred case of gunshot and explosive injuries in Libyan civilian war from 2011 â€“ 2018
Dr. Abdulwanis is a consultant of Orthopedic and Trauma, Department of Orthopedic, Benghazi University, JALA Trauma Hospital Benghazi, Libya.
Open fractures are complex injury that involve both, the bone and surrounding tissues. Management goals are prevention of infection, union of fracture, and restoration of function. Achievement of these goals requires a careful approach based on detailed assessment of the patient and injury. The classification of open fracture is based on type of fracture, associated soft tissue injury, and bacterial contamination present, Tetanus prophylaxis and intravenous antibiotics administration is a useful adjunct. The open fracture wound should be thoroughly irrigated and debrided, although the optimal method of irrigation remains uncertain. Controversy also exists regarding the optimal timing and technique of wound closure. Extensive soft-tissue damage may necessitate the use of local or free muscle flap. Techniques of fracture stabilization depend on the anatomic location of the fracture and characteristics of injury.