Current status and progress in the treatment of open femoral fractures
10.3760/cma.j.cn341190-20230508-00371
- VernacularTitle:股骨开放性骨折的治疗现状与进展
- Author:
Yu LIANG
1
;
Shaojiang LIU
;
Fenglin ZHONG
Author Information
1. 攀枝花市中心医院骨科，攀枝花 617067
- Keywords:
Fractures,open;
Femoral fractures;
Epidemiology;
Fracture fixation surgery;
Prognosis;
Review
- From:
Chinese Journal of Primary Medicine and Pharmacy
2023;30(12):1907-1912
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of open femoral fractures is relatively low, primarily caused by high-energy trauma and often associated with multiple injuries. The management of open femoral fractures is considered one of the most challenging lower limb injuries due to their serious nature, multiple traumas, high disability rate, high infection rate, and high amputation rate. Most scholars currently recommend that open grade I and grade II fractures of the femur be treated with thorough debridement and open reduction, and internal fixation at the initial stage when the patients are in good condition. However, for open grade III femur fractures, many studies still show that staged treatment strategies are preferred, but the fixation method at the initial stage is still controversial. For patients with severe open femoral fractures, the medical team should create an individualized treatment plan, taking into account the patient's and family's preferences, the medical team's experience, and available resources, rather than simply relying on the salvage or amputation scoring system to make the final decision. This review discusses the epidemiology, classification, surgical management options, and strategies for limb salvage and amputation in the treatment of open femur fractures, providing practical guidance for healthcare professionals who manage these patients.
