The treatment of compound joint injury

The management and complications arising from compound joint injuries are discussed. A five-part scheme for the treatment of compound joint injuries is presented: 1. Early radical and total primary surgical intervention. 2. Active irrigation drainage. 3. Rigid internal fixation. 4. Prophylactic anticoagulant therapy. The local application of VAB-cream and the use of systemic antibiotics reduced the rate of infection and the period of hospital stay. The best clinical results were attained by patients in group A-B open joint injury, 83 and 84% of whom, respectively, were classified as excellent to good. The study confirmed that the principles were safe and effective; they have general application and depends on the nature of open joint injury.