How to deal with an infected fracture wound with an exposed plate and poor surrounding soft tissue conditions when postoperative fracture alignment and internal fixation are possible? Such patients are difficult to deal with: the infected area has a plate screw foreign body, if not removed, the wound is difficult to heal, and the fracture is not completely healed, remove the internal fixation, and fear that the fracture is displaced again, it is a dilemma; treatment recommendations: 1, continue to change the medicine (can be used to pull out the poisonous muscle Chinese medicine for), I have encountered similar cases in the past, change the medicine for a period of time, the wound healing, if still not healing, change the medicine can be for fracture repair If the wound does not heal in 6 weeks after surgery, I think it can be debrided, remove the internal fixation, and fix it with external plaster after surgery; 2. immediately debrided, retain the internal fixation, place closed drainage and flush, if the effect is not good, then remove the internal fixation; 3. immediately debrided, remove the internal fixation, and fix it with external fixation frame instead. In conclusion, the management of such patients needs to be combined with the medical conditions of our hospital, the conditions and expectations of the patient and the experience of the physician.