Three-vessel view debridement of the open tibial fracture: a surgical technique.


Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 04 04 2021
accepted: 25 08 2021
pubmed: 11 9 2021
medline: 9 9 2022
entrez: 10 9 2021
Statut: ppublish

Résumé

Adequate debridement of an open fracture is a key component of successful management. Despite having set debridement principles, there is no structured technique available in the literature to guide the surgeon in achieving this. We therefore present a technical note detailing the structured approach to the debridement of any open tibial fracture. Our unit has developed a novel stepwise technique termed locally as the "three-vessel view". Identifying all three primary vessels of the leg facilitates confirmation of inspection of all lower limb compartments thus minimising the risk of missed devitalised tissue or neglected areas of contamination and the potential for consequent disastrous outcomes as a result of inadequate exposure.

Identifiants

pubmed: 34505912
doi: 10.1007/s00590-021-03110-0
pii: 10.1007/s00590-021-03110-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1435-1441

Informations de copyright

© 2021. Crown.

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Auteurs

K Al-Hourani (K)

Department of Trauma & Orthopaedic Surgery, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK.

O Pearce (O)

Department of Trauma & Orthopaedic Surgery, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK. pearce_oliver@hotmail.com.

A Bott (A)

Department of Trauma & Orthopaedic Surgery, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK.

A Riddick (A)

Department of Trauma & Orthopaedic Surgery, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK.

A Trompeter (A)

Department of Trauma & Orthopaedic Surgery, St George's University Hospitals NHS Foundation Trust, London, UK.

M B Kelly (MB)

Department of Trauma & Orthopaedic Surgery, Southmead Hospital, Southmead Road, Bristol, BS10 5NB, UK.

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