Open depressed skull fractures

Open fractures allow exposure of the brain to contaminated material; therefore the traditional practice is to explore, elevate, and debride these fractures as soon as possible, generally within 8 to 12 h. The concept of operative exploration has been challenged by vaO,...d§n H,§®v§rJDd.viO,„.d§LM§.^[w§.il989). They showed improved outcome in selected patients with relatively uncontaminated wounds who were treated by local debridement, scalp closure, and antibiotic coverage. Thus, while the vast majority of open depressed skull fractures should be treated in the operating room, there may be a role for conservative management in selected patients.

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