How to manage an open fracture with exposed bone ends

In the clinic, patients often have open fractures with exposed bone ends, most of which are caused by direct external forces. After the occurrence of open fracture, the first step is to carry out debridement, for the exposed bone end should be repeatedly rinsed three times with soapy water, and then the exposed fracture end should be repeatedly rinsed three times with hydrogen peroxide, soapy water, and then the contused muscles and soft tissues should be excised after the rinsing, to avoid infection, and then carry out the reset of the fracture end, and then the external fixation bracket can be adopted for external fixation after the success of the reset. At the same time, antibiotics should also be applied for treatment to avoid traumatic infection. Therefore, in the clinic after the appearance of this injury patients should consult the doctor in time, to avoid self-disposal, delayed treatment, to avoid traumatic infection, resulting in osteomyelitis or to avoid the occurrence of bone nonunion. At the same time, patients should also be instructed to take oral bone grafting drugs to promote early healing of fracture breaks.