OR / Prep · Orthopedic Surgery · open
You’re scrubbing into
Debridement and fixation of an open tibial fracture
Why are we operating?
The bone is the second problem: the operation is the radical cleaning of a contaminated wound, and only then stabilisation with metal outside or inside.
Indication: Open tibial fracture; the timing standard is early antibiotics, timely surgery, and joint orthoplastic decisions.
The operation in 4 steps
01Wound extension and debridement
02Lavage
03Skeletal stabilisation
04Soft-tissue cover plan
Watch it done
Modern external ring fixation versus internal fixation for severe open tibial fractures
The journal's video abstract on the fixation choice after debridement.
Source: JBJS · Watch on YouTube
Conceptual teaching for learners preparing to observe and assist under supervision, not operative instructions. Five minutes from now you should know why this operation exists, what its shape is, and which structures it is designed not to injure.