ABSTRACT
NOTE: Fracture location or configuration and concomitant fibular fracture have NO prognostic significance.
ordEr oF acutE trEatmEnt 1. Reduction and stabilization of fracture (usually external fixator) 2. Restoration of vascular inflow, if required 3. Four compartment fasciotomies, if required 4. Debridement and washout of wound
• If vascular exposure, then immediate coverage • If no exposed vital structures, then repeat scheduled debridement
tiP: The most important factor for the management of any open, lower extremity fracture is thorough debridement of devitalized tissue.
