PubMed · 10091303
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P F Petersen, J Schmidt, K H Winker. 1999. [Classification in trauma surgery (2)].. https://pubmed.ncbi.nlm.nih.gov/10091303/
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More than 3000 open fractures occur in UK each year. They require early assessment and meticulous treatment in order to avoid devastating complications. The British Orthopaedic Association and British Association of Plastic Surgeons Working Party recommend that an instant photograph be taken of an open wound prior to the application of a dressing. The dressing can then remain undisturbed until the definitive surgical debridement is performed in theatre. Such practice reduces nosocomial infection. Fifty-one accident and emergency departments were surveyed by the means of a telephone questionnaire. Forty-one percent were unable to photograph an open fracture wound. A further 20% had no access to a camera outside of office hours. The cheap, simple and effective recommendations of the Working party are not being followed.
Galeazzi fractures are uncommon, but a combination of open Galeazzi fracture and radial head dislocation has not been described. This article reports on a variant of an open Galeazzi fracture in which concomitant radial head dislocation and coronoid process fracture occurred. Thorough understanding of the mechanisms and influences of pronation injuries of the forearm is essential in order to properly treat this fracture-dislocation. Our evaluation of the individual elements of this composite injury has allowed us to propose a mechanism of injury.