_gustilo-iii-b-open-tibial-fracture-w-prior-osteomyelitis-2-of-3-management-w-serial-debridement-amp-vacum-dressin.jpg "Gustilo III-B open Tibial Fracture wprior Osteomyelitis (2 of 3) -- management wserial debridement & vacum dressings from fracture leg Video Screenshot Preview")
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⏲ Duration: 2 min 22 sec
✓ Published: 24-Jul-2012
✓ Published: 24-Jul-2012
Description:
Here are our problems -- and their suggested solutions:nn#1) Infection -- antibiotics (Cefazolinthe following day, I did a debridement of the wound site and placed a negative pressure foam dressing to help manage the wound cavity; I repeated the debridement nn#2) Fracture Healing -- there's a big bone defect on the anteromedial area of the tibial shaft which will need to be filled up; the posterolateral shaft is in good contact with each other, but this area lacks a lot of soft tissue coverage
Here are our problems -- and their suggested solutions:nn#1) Infection -- antibiotics (Cefazolinthe following day, I did a debridement of the wound site and placed a negative pressure foam dressing to help manage the wound cavity; I repeated the debridement nn#2) Fracture Healing -- there's a big bone defect on the anteromedial area of the tibial shaft which will need to be filled up; the posterolateral shaft is in good contact with each other, but this area lacks a lot of soft tissue coverage
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