Standards for the Management of Open Fractures

• 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.

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