Authors of section

Authors

Pol Rommens, Peter Trafton, Martin Jaeger

Executive Editors

Chris Colton, Steve Krikler

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Open fractures in the humeral shaft

Adequate surgical debridement is the crucial first step in the care of any open fracture. Debridement of a small open fracture wound from inside out may be performed through a separate standard surgical approach to the humerus, if plate fixation has been selected.

open fractures in the humeral shaft

Larger wounds should be debrided.

If definitive stabilization with a plate is planned, if possible larger wounds may be extended to permit a more typical exposure of the humerus.

Using a separate incision is better if the wound location does not readily permit extension into a standard approach.

open fractures in the humeral shaft

If nail fixation is chosen, the open fracture is usually debrided through its original wound.

In severe soft tissue injuries, stabilization with external fixation is recommended. In these cases, the approach addresses the individual soft tissue situation and comprises:

  • Cleaning and debridement of the soft tissue
  • Repair of neurovascular injuries