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Debridement for Open Fracture

March 01, 2016

Contributors: LTC Mark Philip McAndrew, MD; Alexander C McLaren, MD

This video demonstrates the surgical debridement typical for an open fracture. Most of the footage is a case of an open tibia fracture treated by the 8th Forward Surgical Team in Afghanistan. The goals of debridement for a traumatic wound are discussed. Cleaning and draping are demonstrated, and patho-anatomy is examined. The techniques for a thorough exposure are demonstrated, and debridement is done sharply. A tourniquet is used sparingly. Foreign material and devitalized tissue are removed. Longitudinal vascular structures are preserved. Irrigation is carried out at low pressure. Debridement of a second case with more extensive soft tissue damage is shown, and vascular preservation is further discussed. Devitalized bone fragment removal is demonstrated in the original case. Fracture reduction is discussed.

Results for "Let's Discuss Common Orthopaedic Emergencies: Surviving the Night"