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A 25-year-old male involved in a motorcyle accident sustains the injury seen in Figures A and B. After initial adequate debridement of nonviable tissue, which of the following irrigation methods and devices should be used?
Antibiotic solution applied by low pressure gravity flow device
Antibiotic solution applied by high pressure pulsatile flow device
Saline solution applied by low pressure gravity flow device
Saline solution applied by high pressure pulsatile flow device
Antibiotic solution applied by high pressure pulsatile flow device followed by low pressure gravity flow device
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A 43-year-old male sustains the injury shown in Figure A. He has an overlying 3 centimeter wound with exposed bone. Which of the following antibiotics is indicated for initial prophylaxis?
A 27-year-old man sustains a Gustilo and Anderson type II open tibia fracture during a motorcycle accident. He had his full 3 doses of tetanus vaccination as an infant. He also had a tetanus booster vaccination 18 months ago when he began a new job. In addition to intravenous antibiotics, what tetanus prophylaxis should be administered?
No prophylaxis required
Tetanus immune globulin
Tetanus vaccine and tetanus immune globulin
Tetanus vaccine and tetanus immune globulin with a booster vaccine required 6 months from now
HPI - Injury occurred two day ago - crush injury to the big toe.
What is your treatment plan for this patient?
HPI - Proximal tibia metaphyseal-diaphyseal junction open fx due to farm accident
What is the Gustillo classification of this injury?
HPI - 35 year-old-male referred from outside hospital following road traffic accident. Large open wound of the plantar foot that was primarily closed. Failed trial of closed reduction at outside institution
What is the best management of this injury?