Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection

Christian von Rüden; Johannes Wunder; Christoph Schirdewahn; Peter Augat; Simon Hackl

doi:10.1016/j.injury.2024.111935

Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection

Christian von Rüden^* (First author), Johannes Wunder, Christoph Schirdewahn, Peter Augat (Co-author), Simon Hackl (Last author)

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

Abstract

The management of soft tissue damage during fracture treatment requires surgical proficiency and meticulous care adhering to established treatment protocols. This approach is paramount for minimizing the risk of potentially limb- or even life-threatening complications such as fracture-related infection (FRI) in all age groups. There is a general consensus on essential measures such as wound assessment, surgical debridement and early use of antibiotics. Treatment should always be based on the correct classification of the fracture and the corresponding soft tissue injury, but needs to be adapted to the individual patient considering general health status, secondary diagnoses and currently available treatment options.

Original language	English
Article number	111935
Pages (from-to)	111935
Number of pages	7
Journal	INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
Volume	55
DOIs	https://doi.org/10.1016/j.injury.2024.111935
Publication status	Published - Nov 2024

Keywords

Humans
Soft Tissue Injuries/complications
Debridement/methods
Fractures, Open/complications
Anti-Bacterial Agents/therapeutic use
Fractures, Closed/complications
Surgical Wound Infection/prevention & control
Soft Tissue Infections/therapy
Wound Healing
Gustilo and Anderson classification
Fracture fixation
Fracture
Fracture-related infection (FRI)
Negative pressure wound therapy (NPWT)
Antibiotics
Soft tissue damage
Lesion

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10.1016/j.injury.2024.111935

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von Rüden, C., Wunder, J., Schirdewahn, C., Augat, P., & Hackl, S. (2024). Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED , 55, 111935. Article 111935. https://doi.org/10.1016/j.injury.2024.111935

von Rüden, Christian ; Wunder, Johannes ; Schirdewahn, Christoph et al. / Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection. In: INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED 2024 ; Vol. 55. pp. 111935.

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title = "Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection",

abstract = "The management of soft tissue damage during fracture treatment requires surgical proficiency and meticulous care adhering to established treatment protocols. This approach is paramount for minimizing the risk of potentially limb- or even life-threatening complications such as fracture-related infection (FRI) in all age groups. There is a general consensus on essential measures such as wound assessment, surgical debridement and early use of antibiotics. Treatment should always be based on the correct classification of the fracture and the corresponding soft tissue injury, but needs to be adapted to the individual patient considering general health status, secondary diagnoses and currently available treatment options.",

keywords = "Humans, Soft Tissue Injuries/complications, Debridement/methods, Fractures, Open/complications, Anti-Bacterial Agents/therapeutic use, Fractures, Closed/complications, Surgical Wound Infection/prevention & control, Soft Tissue Infections/therapy, Wound Healing, Gustilo and Anderson classification, Fracture fixation, Fracture, Fracture-related infection (FRI), Negative pressure wound therapy (NPWT), Antibiotics, Soft tissue damage, Lesion",

author = "{von R{\"u}den}, Christian and Johannes Wunder and Christoph Schirdewahn and Peter Augat and Simon Hackl",

note = "von R{\"u}den, Augat: Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria; Augat, Hakl: Department of Trauma Surgery, BG Unfallklinik Murnau, Murnau, Germany",

year = "2024",

month = nov,

doi = "10.1016/j.injury.2024.111935",

language = "English",

volume = "55",

pages = "111935",

journal = "INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED ",

issn = "0020-1383",

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von Rüden, C, Wunder, J, Schirdewahn, C, Augat, P & Hackl, S 2024, 'Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection', INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED , vol. 55, 111935, pp. 111935. https://doi.org/10.1016/j.injury.2024.111935

Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection. / von Rüden, Christian (First author); Wunder, Johannes; Schirdewahn, Christoph et al.
In: INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED , Vol. 55, 111935, 11.2024, p. 111935.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection

AU - von Rüden, Christian

AU - Wunder, Johannes

AU - Schirdewahn, Christoph

AU - Augat, Peter

AU - Hackl, Simon

N1 - von Rüden, Augat: Institute for Biomechanics, Paracelsus Medical University, Salzburg, Austria; Augat, Hakl: Department of Trauma Surgery, BG Unfallklinik Murnau, Murnau, Germany

PY - 2024/11

Y1 - 2024/11

N2 - The management of soft tissue damage during fracture treatment requires surgical proficiency and meticulous care adhering to established treatment protocols. This approach is paramount for minimizing the risk of potentially limb- or even life-threatening complications such as fracture-related infection (FRI) in all age groups. There is a general consensus on essential measures such as wound assessment, surgical debridement and early use of antibiotics. Treatment should always be based on the correct classification of the fracture and the corresponding soft tissue injury, but needs to be adapted to the individual patient considering general health status, secondary diagnoses and currently available treatment options.

AB - The management of soft tissue damage during fracture treatment requires surgical proficiency and meticulous care adhering to established treatment protocols. This approach is paramount for minimizing the risk of potentially limb- or even life-threatening complications such as fracture-related infection (FRI) in all age groups. There is a general consensus on essential measures such as wound assessment, surgical debridement and early use of antibiotics. Treatment should always be based on the correct classification of the fracture and the corresponding soft tissue injury, but needs to be adapted to the individual patient considering general health status, secondary diagnoses and currently available treatment options.

KW - Humans

KW - Soft Tissue Injuries/complications

KW - Debridement/methods

KW - Fractures, Open/complications

KW - Anti-Bacterial Agents/therapeutic use

KW - Fractures, Closed/complications

KW - Surgical Wound Infection/prevention & control

KW - Soft Tissue Infections/therapy

KW - Wound Healing

KW - Gustilo and Anderson classification

KW - Fracture fixation

KW - Fracture

KW - Fracture-related infection (FRI)

KW - Negative pressure wound therapy (NPWT)

KW - Antibiotics

KW - Soft tissue damage

KW - Lesion

U2 - 10.1016/j.injury.2024.111935

DO - 10.1016/j.injury.2024.111935

M3 - Review article

C2 - 39482034

SN - 0020-1383

VL - 55

SP - 111935

JO - INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

JF - INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

M1 - 111935

ER -

von Rüden C, Wunder J, Schirdewahn C, Augat P , Hackl S. Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection. INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED . 2024 Nov;55:111935. 111935. doi: 10.1016/j.injury.2024.111935

Initial treatment of severe soft-tissue injuries in closed and open fractures to prevent fracture-related infection

Abstract

Keywords

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