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This is because, once the skin is broken, bacteria from dirt and other contaminants can enter the wound and cause infection. Open vs. Closed Fracture. Objective: To compare an open vs a closed approach to the nasal pyramid for the initial repair of nasal fractures. A closed fracture is also called a simple fracture. An open fracture is also called a compound fracture. Closed repair, by contrast, is made without an incision. Open fracture care is not performed in the emergency department; instead, the patient is taken to an operating room. An open fracture is known as a compound fracture, while a closed fractured is commonly called a simple fracture. Some coders confuse the indication of an open or closed fracture to mean that the treatment of that injury was open or closed, when, in fact, these terms mean two different things. In a non-displaced fracture, the bone cracks either part or all of the way through, but does move and maintains its proper alignment. The patient may present with an open fracture (the bone pierces the skin), but may still receive closed fracture repair. 2 An individual with a closed fracture will have immediate swelling and pain with difficulty moving the injured area, but will not have any open wound which is not the case with open fractures. There are basically two types of fracture one is a closed fracture and the other is an open fracture.
Methods: Retrospective medical record review of 49 patients with acute nasal fractures treated by a single surgeon during a 5-year period. Published on Fri Oct 01, 1999. An open fracture requires different treatment than a closed fracture, in which there is no open wound. A closed fracture is when the bone breaks but there is no puncture or open wound in the skin. Advertisement A Closed Fracture occurs when a bone which is broken does not penetrate the skin and does not protrude out. In a closed fracture, the broken bone doesn’t break your skin. Both may be characterized by a break in the bone, but there is still a huge difference between an open and a closed fracture. For this reason, early treatment for an open fracture focuses on preventing infection at the site of the injury. An open fracture is one where the skin overlying the fracture has been violated through the subcutaneous tissue, explains John Stimler, DO, FACEP, a practicing emergency … An open fracture involves a break in the skin, which is caused by the protrusion of a broken bone. Terminology. Clinical Manifestations.