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

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 approac...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2022-10, Vol.32 (7), p.1435-1441
Main Authors: Al-Hourani, K., Pearce, O., Bott, A., Riddick, A., Trompeter, A., Kelly, M. B.
Format: Article
Language:English
Subjects:
Debridement
Infections
Injuries
Medicine
Medicine & Public Health
Open fractures
Orthopedics
Surgery
Surgical Orthopedics
Surgical outcomes
Surgical techniques
Technical Note
Trauma
Traumatic Surgery
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Summary: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.
ISSN:1432-1068
1633-8065
1432-1068
DOI:10.1007/s00590-021-03110-0