![]() The plaster cast used to treat the fracture may contribute to the development of secondary compound fracture by causing trauma to the cutaneous blood vessels. There is a secondary breakdown of the ovelrying skin and connective tissue due to destruction of cutaneous blood vessles or delayed impact of the trauma. Secondary Compound FractureĪ secondary compound fracture is another important type of compound fracture in which the skin overlying the fractured bone is intact to begin with. An accurate grading of the fracture is essential for deciding the proper course of treatment and avoiding complications. The above classification system is based on the Gustillo and Anderson classification. Grade 3C fractures require immediate vascular surgery. Grade 3C fractures are complex fractures that are accompanied by injury to the blood vessels. Grade 3B fractures are complex fractures that are accompanied by extensive damage to the soft tissues. Grade 3A fractures are complex fractures that are not accompanied by any damage to the soft tissues. Grade 2 fractures can be simple or complex fractures that are accompanied by overlying wounds of more than 10mm in size. Grade 1 fractureĪ grade I fracture is a simple fracture that has an overlying puncture wound of about 5-10mm. Types of Compound FracturesĬompound fractures are usually classified into the following five grades, depending on their severity. A patient’s general condition also determines the type of surgical procedures can be implemented. The management of compound fractures is also a difficult endeavor.ĭue to the involvement of multiple tissues, several specialist surgeons may be required to treat a compound fracture. Bone infections and physical deformities due to compound fractures may persist throughout life. In addition, several life-threatening infections and other complications may also occur in cases of compound fractures. Blood leakage in fractures results in the formation of blood clots, which prevent further blood loss by sealing the injured area.Ĭompound fractures display poor or delayed healing because of less blood clot formation at the site of injury. The leaked blood does not flow out of these tissue compartments. This is because the loss of blood in a simple fracture occurs in a small area that is delimited by tissue compartments. However, the loss of blood in a simple fracture is relatively less when compared to the loss of blood in a compound fracture. A simple fracture of the bone without any overlying wound is also accompanied by blood loss. ![]() This leads to considerable loss of blood. Regardless of the cause of the open wound, a compound fracture is prone to getting infected by the microbes in the environment and causing serious complications.Another important feature of a compound fracture is leakage of blood from the open wound.
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