What is it? : We divide fractures into two as open and closed fractures. The integrity of the skin is not disrupted in closed fracture but the integrity of the skin is disrupted in the open fracture and the bone is visible from the outside. Open fractures cause excessive blood loss if the vessel is torn by the tip of the broken bone. They may cause an infection due to the contamination of the outside environment.

Causes : The most common causes for open fractures today are fire arms injuries and traffic accidents.

Treatment : Emergency procedures for open fractures include: First, if bleeding is present, it should be taken under control. Removal of dead tissues and foreign bodies, called debridement, is the first operation to be performed and must be performed under sterile conditions. After debridement, this area should be washed with abundant serum physiology until no dead tissue remains. If the wound can be closed by stitching it should be closed. The broken plaster in the bone should then be identified with the help of traction or implants, both internally and externally. Broad spectrum antibiotics should be used in open fractures with a high risk of infection.

The duration of administration of the antibiotic is related to the status of the open fracture. In the open fractures, fatal tables such as general infection, tetanus, gas gangrene can be encountered early on. In such cases, removal of that area from the body called amputation is a saving operation. Although all treatments are performed on open fractures, there are unfavorable conditions that can cause late binding, non-binding of bones and bone loss (defects).