Conclusion
The management of open fractures presents a challenge due to risk of infection, healing problems and
subsequent morbidity. Antibiotics and Tetanus prophylaxis started as soon as possible. Adequate
debridement and copious levage remains one of the cornerstones of management of open fractures. Early
internal fixation and soft tissue closure is advocated and collaboration with plastic or micro-vascular
surgeon early where necessary is advocated. Use of adjuncts to management like vacuum assisted
closure, recombinant human bone morphogenic protein 2 may improve tissue and bone healing
respectively. The treating surgeon has to adhere to the principles of open fracture management for
optimal outcome, prevent complications and decrease hospital stay and costs