Details

Autor(en) / Beteiligte

• Bhandari, Mohit
• Jeray, Kyle J
• Petrisor, Brad A
• Devereaux, P J
• Heels-Ansdell, Diane
• Schemitsch, Emil H
• Anglen, Jeff
• Della Rocca, Gregory J
• Jones, Clifford
• Kreder, Hans
• Liew, Susan
• McKay, Paula
• Papp, Steven
• Sancheti, Parag
• Sprague, Sheila
• Stone, Trevor B
• Sun, Xin
• Tanner, Stephanie L
• Tornetta, 3rd, Paul
• Tufescu, Ted
• Walter, Stephen
• Guyatt, Gordon H

Titel

A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds

Ist Teil von

• The New England journal of medicine, 2015-12, Vol.373 (27), p.2629-2641

Ort / Verlag

United States: Massachusetts Medical Society

Erscheinungsjahr

2015

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• This study investigated castile soap versus normal saline irrigation delivered by means of high, low, or very low pressure for open fractures. Reoperation rates were similar, regardless of irrigation pressure; the rate was higher in the soap group than in the saline group. The initial management of open fractures requires thorough irrigation and débridement 1 – 4 to prevent infection and promote wound and bone healing. 2 , 4 Clinicians accomplish débridement by removing all visible debris and necrotic tissue and by providing copious irrigation of the wound. Controversy exists regarding the choice of irrigation pressure and solution. 4 – 13 High pressure may be more effective than low pressure in removing particulate matter and bacteria 7 – 10 but at the expense of bone damage 8 , 11 and a resultant delay in bone healing. 12 Low pressure may avoid bone damage and delayed healing but at the possible cost of less effective . . .