Questions / Ortho Skills (Real Life) / Open Fractures Ortho Skills (Real Life) · Learn · 1 of 1
Open Fractures · trauma
After debridement of a high-energy open tibia, bone is exposed and the remaining envelope will not close without tension. Vascular exam is intact. Which statement should drive tonight’s plan? A A perfect articular reduction under a compromised flap is still a win if the hardware is anatomic B Grade the injury only from the arrival photo — grading never changes after debridement C Fixation choice follows the realistic envelope; call coverage early if a flap will be required D Primary closure under tension is preferred to leaving the wound open Ortho Conditioning
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