Open fracture is a common symptom of fracture. Broken bones and communication with the outside world are all considered open fractures. Open fractures require timely and correct treatment methods. The wound should be cleaned to avoid infection. For example, it can be repeatedly rinsed with saline. Bleeding should be stopped in time, and the bone should be set in time to avoid improper bone setting, which can cause great harm to the future. The correct treatment method for open fractures 1. The principle of treating open fractures is to treat the wound promptly and correctly, prevent infection as much as possible, and strive to convert open fractures into closed fractures. 2. Clean the wound: rinse with saline 2 to 3 times. The inside of the wound is generally not rinsed. Cover the wound with sterile gauze. If it is severely contaminated, gently clean it with sterile gauze and then rinse with saline. The wound can then be rinsed with complex iodine or gauze soaked in complex iodine can be applied to the wound, and then rinsed with normal saline. 3. Stop bleeding: Quickly determine the nature of the bleeding and choose an effective temporary method to stop bleeding. Generally, open wounds are bandaged with sterile gauze or dry clean cloth and applied pressure locally. If there is active bleeding from large blood vessels, pressure is usually applied to the wound to stop the bleeding to avoid limb necrosis. 4. The fracture needs to be temporarily fixed: and the appropriate internal fixation method should be selected according to the type of fracture to fix the fracture. The fixing method should be the simplest and quickest. An external fixator can be used for fixation, otherwise it is easy to cause infection. Treatment of open fractures The treatment of open fractures must ensure fracture healing, avoid wound infection, and restore limb function as quickly as possible. This has always been a difficult problem in trauma orthopedics. The treatment of open fractures includes several main aspects: debridement, fracture fixation, wound closure and the use of antibiotics. Rehabilitation care Functional exercise should transition from passive movement to active movement according to the patient's overall condition. The range can be from small to large, from shallow to deep, from single joint to multiple joints, from bed to out of bed, starting with the easy and then the difficult, step by step, and gradually adapt. Patients undergoing bone traction should also begin local massage as early as possible. Functional exercise is an important measure to improve local blood circulation, promote healing, and promote functional recovery. Correct functional exercise can correct residual deformities after reduction, so medical staff should patiently explain its importance to patients in order to mobilize patients' subjective initiative, build confidence in treatment, and carry out reasonable and effective functional exercises under the correct guidance and help of medical staff to recover as soon as possible. |
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