maria.b
Forum Senior
Topics: 17
Posts: 57
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was revising some questions on UW...
here's one that i don't seem too satisfied with.i want to know wat u ppl think....
Man kicked a ladder ina swimming pool...
ended up with open wound 2x4 in first interdigital space
x-ray : oblique diaphyseal fracture of 2nd met bone......mild angular dispalcement and open angle laterally
vessels,tendons nerves intact
vitals stable......most app next step in mx:
1.closure
2.dressing
3.closure and plaster cast
4.dressing and plaster cast
5.open reduction and closure
................well.they say ans is 4 cuz u shouldn't do a primary closure...rather a delayed primary closure as the chances of infection r high???..........
my question is rn't chances of infection high with the wound open like that???.......anyone wants to shed any light.confused???
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M.B
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| alenka
Forum Elite
Topics: 22
Posts: 330
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i think a lot depends on how long ago this man kicked the ladder.if i'm not mistaken-if it's less that 6(or maybe 4-i'm not sure)hours ago-you can close it.and if it's more that 6 hours-you have to do delayed primary closure.and the only condition-the wound is NOT contaminated!
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