Treatment#
- Antibiotics
- Debridement & tetanus prophylaxis
- Stabilization
- Soft-tissue cover
- Rehabilitation
Antibiotics#
- 1st/2nd generation cephalosporin or co-amoxiclav
- Started immediately
- Continued up to soft-tissue cover or a maximum of 72 hours, whichever is sooner
Debridement#
- All dead and foreign material is removed
- Washed with large quantities of normal saline
Stabilization#
- Locked intramedullary nailing (if definitive wound cover is possible at the time of debridement)
- Temporary stabilization with external fixator and later replaced with intramedullary nail (if definitive wound cover is not possible immediately)