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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Open Distal Radius Fractures: Timing and Strategies for Surgical Management.
    Author: Iorio ML, Harper CM, Rozental TD.
    Journal: Hand Clin; 2018 Feb; 34(1):33-40. PubMed ID: 29169595.
    Abstract:
    Open distal radius fractures are rare injuries with few studies to guide treatment. Degree of soft tissue injury and contamination may be a primary consideration to dictate timing and operative intervention. Antibiotics should be started as early as possible and include a first-generation cephalosporin. Surgical fixation remains a matter of surgeon preference: although studies support the use of definitive internal fixation, many surgeons address contaminated injuries with external fixation. Although postoperative outcomes are similar to closed injuries for low-grade open distal radius fractures, high-grade injuries with more complex fracture patterns carry a high risk of complications, poor outcomes, and repeat surgical procedures.
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