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"@type": "Question",
"name": "Comment diagnostiquer une fracture ouverte ?",
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"text": "Un examen physique et des radiographies sont nécessaires pour confirmer la fracture."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une fracture ouverte ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un os visible, une plaie ouverte et un gonflement autour de la zone touchée sont des signes."
}
},
{
"@type": "Question",
"name": "Les examens d'imagerie sont-ils toujours nécessaires ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les examens d'imagerie comme les radiographies sont essentiels pour évaluer la fracture."
}
},
{
"@type": "Question",
"name": "Peut-on diagnostiquer une fracture ouverte sans radiographie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la radiographie est cruciale pour visualiser l'étendue de la fracture."
}
},
{
"@type": "Question",
"name": "Quels tests peuvent être effectués en cas de fracture ouverte ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests sanguins peuvent être réalisés pour évaluer le risque d'infection."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes d'une fracture ouverte ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur intense, déformation, gonflement et saignement au site de la fracture."
}
},
{
"@type": "Question",
"name": "La douleur est-elle toujours présente avec une fracture ouverte ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la douleur est généralement intense et immédiate après la blessure."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes associés à une infection ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Rougeur, chaleur, écoulement purulent et fièvre peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Comment différencier une fracture ouverte d'une fracture fermée ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une fracture ouverte présente une plaie visible, tandis qu'une fracture fermée ne l'a pas."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon l'emplacement de la fracture ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier selon l'os touché et la gravité de la fracture."
}
},
{
"@type": "Question",
"name": "Comment prévenir les fractures ouvertes ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les activités à risque, portez des équipements de protection et maintenez une bonne santé osseuse."
}
},
{
"@type": "Question",
"name": "Les exercices peuvent-ils aider à prévenir les fractures ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des exercices de renforcement et d'équilibre peuvent réduire le risque de fractures."
}
},
{
"@type": "Question",
"name": "L'alimentation joue-t-elle un rôle dans la prévention ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une alimentation riche en calcium et en vitamine D est essentielle pour des os solides."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées ont un risque accru de fractures en raison de la fragilité osseuse."
}
},
{
"@type": "Question",
"name": "Les sports extrêmes augmentent-ils le risque de fractures ouvertes ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les sports extrêmes comportent un risque élevé de blessures, y compris des fractures ouvertes."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal d'une fracture ouverte ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement inclut la chirurgie pour nettoyer la plaie et stabiliser l'os."
}
},
{
"@type": "Question",
"name": "Des antibiotiques sont-ils nécessaires ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antibiotiques sont souvent prescrits pour prévenir les infections."
}
},
{
"@type": "Question",
"name": "Quelle est l'importance de la rééducation ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La rééducation est cruciale pour restaurer la fonction et la force après la guérison."
}
},
{
"@type": "Question",
"name": "Peut-on traiter une fracture ouverte sans chirurgie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Rarement, la chirurgie est généralement nécessaire pour traiter efficacement la fracture."
}
},
{
"@type": "Question",
"name": "Combien de temps dure la guérison d'une fracture ouverte ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La guérison peut prendre de plusieurs semaines à plusieurs mois selon la gravité."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles d'une fracture ouverte ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Infections, retard de guérison, déformation osseuse et complications vasculaires."
}
},
{
"@type": "Question",
"name": "Comment une infection peut-elle se développer ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'infection peut survenir si des bactéries pénètrent dans la plaie ouverte au site de la fracture."
}
},
{
"@type": "Question",
"name": "Les fractures ouvertes peuvent-elles entraîner des problèmes à long terme ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des douleurs chroniques et des limitations fonctionnelles peuvent survenir."
}
},
{
"@type": "Question",
"name": "Qu'est-ce qu'une déformation osseuse ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une malformation de l'os qui peut survenir si la fracture ne guérit pas correctement."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles plus fréquentes chez certains patients ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients diabétiques ou immunodéprimés ont un risque accru de complications."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque de fractures ouvertes ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les accidents, les sports de contact, l'ostéoporose et les maladies osseuses augmentent le risque."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque de fractures ouvertes ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge en raison de la fragilité osseuse."
}
},
{
"@type": "Question",
"name": "Le sexe joue-t-il un rôle dans le risque de fractures ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes post-ménopausées sont plus à risque en raison de la perte osseuse."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux augmentent-ils le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de fractures peuvent indiquer un risque accru."
}
},
{
"@type": "Question",
"name": "Les habitudes de vie influencent-elles le risque de fractures ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme et l'alcoolisme peuvent affaiblir les os et augmenter le risque."
}
}
]
}
]
}
The purpose of this study was to reveal the treatment preferences and current practices regarding open tibial shaft fracture (OTSF)....
Online surveys of treatment preferences and current practice of OTSF were conducted by orthopedic trauma doctors from various medical institutions in Zhejiang Province. The survey contains three modul...
A total of 132 orthopedic trauma doctors from 41 hospitals in Zhejiang province, participated the online surveys. In GA I-IIIA OTSF, more than three-quarters of participants considered <3 h as the app...
The study first presents the current preference and practice regarding management of GA I-IIIA OTSF in Zhejiang. Majority of surgeons in our study preferred secondary internal fixation following exter...
This experiment aimed to explore the influence mechanism of external fixator on open fracture. A total of 128 patients with open tibiofibular fractures were included in this study. The patients were r...
ATV (All-Terrain Vehicle) related open fractures are often high energy and may be highly contaminated. We asked whether they were more complicated than other open fractures in pediatric patients....
A retrospective chart review was performed comparing ATV associated open fractures to open fractures sustained in non-ATV related accidents. 97 pediatric open fractures from 2015 to 2021 were identifi...
Our cohort was predominantly male (71% in the ATV group and 76% in the non-ATV group). White race was more common in both the ATV (28 (80%)) and non-ATV (50(78%)) groups. The distribution of AO/OTA fr...
Open fractures resulting from ATV injuries tend to be more complex and have higher rates of revision and malunion. This information supports the large body of evidence on the dangers of ATVs to childr...
Open diaphyseal tibial fractures are the most common long-bone fractures and require a rapid approach to prevent devastating complications. Current literature reports the outcomes of open tibial fract...
A retrospective analysis of the tibial fracture database was carried out from 2014 to 2020. Criteria for inclusion was any tibial fracture including tibial plateau, shaft, pilon or ankle, with an open...
On multivariate modelling, patients with BMI > 30 (OR = 2.078, 95%CI [1.145-6.317], p = 0.025), Gustilo-Anderson (GA) type III (OR = 6.120, 95%CI [1.995-18.767], p = 0.001), longer time to soft tissue...
Higher GA classification is a significant risk factor for developing superficial infection and osteomyelitis, with a stronger association with osteomyelitis, especially GA 3C fractures. Predictors for...
Early soft-tissue reconstruction of open fractures has been shown to decrease infection rates and improve rates of bony union. The purpose of this study was to compare the rates and time to union of o...
A retrospective chart review of 118 patients with open tibia fractures requiring soft-tissue reconstruction treated at a single level 1 trauma center was performed. Demographic data as well as flap ty...
Limb salvage was achieved in 90% of patients. The overall rate of nonunion was 33%. Flap type significantly affected time to union, with local fasciocutaneous and keystone flaps having significantly l...
Flap type affects time to union but not nonunion rate in open tibia fractures....
Therapeutic, III....
The presence of air on computed tomography (CT) scans has been demonstrated to accurately diagnose occult traumatic arthrotomies. The purpose of this study was to determine if the presence of air on C...
A retrospective review at a level 1 trauma center identified twenty-eight patients with Gustilo-Anderson Type 1 open fractures and preoperative CT scans. These patients were matched 2:1 with 56 closed...
Air near the fracture site on CT scan was more common in open fractures then closed fractures (21 (75%) vs. 9 (16%) patients, proportional difference: 59% (37-75%), p < 0.0001). In the open fracture g...
This study found that the presence of air on CT scan was more likely in type 1 open versus closed fractures; however, the sensitivity or specificity was too low to be used reliably to identify occult ...
Diagnostic Level III....
The British Orthopaedic Association Standards for Orthopaedics and Trauma 4 (BOAST 4) inform the management of open lower-limb fractures. The authors conducted repeated reviews of performance against ...
Data on Gustilo-Anderson grade IIIB or IIIC open lower-limb fractures were collected from a prospectively constructed departmental database and analyzed using Excel. Outcomes assessed included time to...
A total of 69% of patients in our cohort received care that aligned with BOAST 4 guidelines. Median time to stabilization was 14.2 hours and to soft-tissue coverage was 47 hours, with 71% of cases com...
Compliance with the BOAST 4 guidelines and time to definitive soft-tissue coverage have improved at our center since the last review. Deep infection rates were significantly lower in BOAST 4-compliant...
Therapeutic, IV....
We aimed to investigate the incidence, characteristics, and treatments of open fractures in children and adolescents (≤18 years old). We retrospectively reviewed the records of 2418 children and adole...
The prophylactic intravenous antibiotic regimen for Gustilo-Anderson Type III open fractures traditionally consists of cefazolin with an aminoglycoside plus penicillin for gross contamination. Cefotet...
Cefotetan monotherapeutic prophylaxis versus any other antibiotic regimen (standard/literature-supported and otherwise) was studied for patient encounters between September 2010 and December 2019 with...
The nested variable accounting for standard/literature-supported antibiotic regimens had no significant effect in any model for any outcome (for each, P ≥ 0.302). Thus, 1-year data for 138 Type III op...
Cefotetan alone may provide superior antibiotic stewardship with similar infectious sequalae compared to more traditional antibiotic prophylaxis regimens for Gustilo-Anderson Type III open long bone f...
Level III Retrospective Cohort Study....
Trauma is now one of the fastest growing epidemics globally but low and middle-income countries (LMICs) are more severely affected in terms of cost, disability and death. The high-energy trauma of roa...
This is a prospective observational study of all the 101 open fractures of the humerus, femur and tibia treated over a period of 92 months with Surgical Implant Generation Network (SIGN) nail. Fractur...
Most of the patients fall between ages 20 and 49 years; 75.5% of them were males. There were more Gustilo-Anderson type IIIA fractures than other types but nine type IIIB tibia fractures were also nai...
The SIGN nail's solid construct reduces the risk of infection and allows earlier use of the limb, making it particularly suitable in LIMCs where socioeconomic functioning often requires an unhindered ...