The 50 Most Cited Papers Concerning Open Fractures.

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Abstract

[Indexed for MEDLINE] 7. J Hand Surg Am. 2020 Jun;45(6):523-527. doi: 10.1016/j.jhsa.2020.02.007. Epub 2020 Apr 4. The Management of Pediatric Open Forearm Fractures. Elia G(1), Blood T(2), Got C(2). Author information: (1)Department of Orthopaedic Surgery, Providence, RI; Warren Alpert Medical School of Brown University, Providence, RI. Electronic address: Gregory_elia@brown.edu. (2)Department of Orthopaedic Surgery, Providence, RI; Warren Alpert Medical School of Brown University, Providence, RI. Open pediatric forearm fractures are common injuries that present to emergency departments across the United States. A total of 32% to 80% of all open pediatric fractures involve the forearm. Standard treatment for these injuries includes prompt intravenous antibiotic administration, tetanus prophylaxis, and usually bedside irrigation as a temporizing measure. Gustilo and Anderson type 2 and 3 open pediatric forearm fractures are generally managed with formal irrigation and debridement and fracture stabilization in the operating room. Management of Gustilo and Anderson type 1 open pediatric forearm fractures is not standardized, and level I evidence is currently lacking. Based on the existing data available, early antibiotic administration, bedside irrigation, and fracture stabilization in the emergency department may be a safe and effective initial treatment for these injuries, conferring a low risk for subsequent infection. Copyright © 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jhsa.2020.02.007