Standards for the Management of Open Fractures

ISBN : 9780198849360

Simon Eccles; Bob Handley; Umraz Khan; Jagdeep Nanchahal; Selvadurai Nayagam; Iain McFadyen
224 ページ
156 x 234 mm

Standards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focussing on lower limb injuries. It builds on and expands the NICE Guidelines to provide a practical approach with supporting evidence.

The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with the bone and soft tissue injures, complications such as infection, and patient rehabilitation and psychological care.
The book is primarily aimed at trainee plastic, orthopaedic and trauma surgeons (particularly for expanding knowledge and examination revision) but would also appeal to established surgeons to improve patient care.

Standards for the Management of Open Fractures is an open access title. It is available to read and download as a free PDF version on Oxford Medicine Online. It has been made available under a Creative Commons Attribution-Non Commercial No Derivatives 4.0 International licence.


1 Pre-hospital, antibiotics and accident and emergency
2 Timing of wound excision
3 Wound excision
4 Degloving injuries
5 Temporary dressings
6 Skeletal stabilisation
7 Timing of soft tissue reconstruction
8 Soft tissue reconstruction
9 Bone loss
10 Vascular injuries
11 Compartment syndrome
12 Amputation
13 Infection
14 Open fractures in children
15 Open fragility fractures
16 Outcome measures
17 Patient experience of open fracture and psychological support
18 Rehabilitation
19 Blast injuries and mass casualties
20 Setting up an orthoplastic service
21 NICE Recommendations relevant to open fractures


Simon Eccles is a Craniofacial surgeon at Chelsea and Westminster Hospital. He is the Secretary of BAPRAS and a coeditor of this important interspecialty book.
He has previously been a consultant in plastic surgery at Charing Cross Hospital, where he worked with a number of the authors involved in this book. As head of professional standards at BAPRAS he is committed to providing a framework for interspecialty working and improving standards of care for patients.; Mr Bob Handley is a Consultant for Trauma and Orthopaedic surgery at the John Radcliffe Hospital. He is an Honorary Senior Lecturer in Trauma and Orthopaedics at the University of Oxford. He was co-chair of the NICE guideline development group for both complex and non-complex fractures, and a member of the group that developed the NICE Hip Fracture guideline. He is a past president of the Orthopaedic Trauma Society and AOUK. He is a current member of the British Orthopaedic Association Council and their Trauma Group.; Mr Khan runs a world leading, high volume orthoplastic service at a major trauma centre in Bristol both for adults and children. Mr Khan has promoted the concepts of Orthoplastic surgery in the UK and abroad. He co-authored the predecessor to this book published in 2009. Mr Khan continues to publish clinically relevant papers, which are well known and oft quoted. Mr Khan is the editor of the lower limb section of the Oxford Textbook of Plastic Surgery. Mr Khan has on invitation lectured around the world on the subject of lower limb trauma with the motivation of improving outcomes. Mr Khan is Editor-in-Chief for the International Journal of Orthoplastic Surgery. Mr Khan was the only plastic surgeon in the Clinical Reference Group at the DoH
for specialist surgery specifically on open fracture management.; Professor Nanchahal led the development of the orthoplastic service together with Michael Pearse at the Charing Cross Hospital, now Imperial College Healthcare Trust, in London in 1996. He was lead author on the previous edition of this 'Standards' book published in 2009. A firm believer in evidence-based medicine, he was the only plastic surgery member of the NICE Guidance Development Groups on Complex and Non-Complex fractures and remains an active member of the Expert panel of the NICE Centre for Guidelines.; Mr Nayagam is a clinical leader in limb reconstruction surgery and a strong proponent of collaborative multidisciplinary work in trauma and limb reconstruction. He was a major contributor to the previous edition of this book in 2009 and part of the NICE Guideline Development Group on Complex Fractures. He was a past President of the British Limb Reconstruction Society. He has authored several textbooks on Orthopaedics and teaches nationally and internationally on limb reconstruction.; Mr McFadyen is an experienced trauma and limb reconstruction surgeon specialising in complex limb injuries and the complications of fractures. He was a clinical lead at national and regional levels in helping establish Major Trauma Networks in England. Together with Mr Bob Handley, Mr McFadyen co-chaired the NICE guideline development group for complex and non-complex fracture guidelines and was a member of the project executive for the suite of NICE trauma guidelines. Mr McFadyen is Chair of Education for the orthopaedic trauma organisation AO UK and Ireland, and is an international leader in developing trauma instructional courses across the globe.