Open joint injury

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Classification

  • Type I: single penetration with out extensive soft tissue damage
  • Type II: Single or multiple penetrations with extensive soft tissue distruptions (flapsm avulsions, or degloving)
  • Type III: open periarticular fractures with extension through the adjacent intraarticular surface
  • Type IV: open dislocations or those with associated nerve or vascular injury requiring repair

Managmenent

  • Perioperative antibiotics until 24 to 48 hours postoperative