open fracture
Bone fracture with overlying skin break creating communication between the fracture site and external environment.
Full Definition
Open fracture, previously termed compound fracture, occurs when a bone break is accompanied by a wound that communicates with the fracture site, creating risk for contamination and infection. Classification follows the Gustilo-Anderson system (Types I, II, IIIA, IIIB, IIIC) based on wound size, contamination level, and soft tissue damage. Emergency management requires immediate antibiotic administration, tetanus prophylaxis, surgical irrigation and debridement, and fracture stabilization. Time to surgical intervention is critical, with the goal of operative treatment within 6-8 hours to minimize infection risk.
Usage
Usage note: Always include Gustilo-Anderson classification when documenting open fractures.
In Context
- "The patient sustained a Grade IIIB open fracture of the tibia requiring immediate surgical intervention." — Orthopedic trauma consultation
- "Open fracture management included antibiotic prophylaxis and emergent irrigation and debridement." — Emergency department treatment plan