What is the main concern with patients who have open fractures?

The primary concern with patients who have open fractures is the risk of infection. In open fractures, the bone is exposed through the skin, creating a direct pathway for bacteria and other pathogens to enter the body. This exposure significantly raises the likelihood of infection, which can complicate treatment and recovery. Infections can lead to further complications such as osteomyelitis, a serious bone infection, and may necessitate additional surgeries or prolonged antibiotic therapy.

While increased pain is a factor in any fracture, it is not unique to open fractures. Osteoporosis, which affects bone density and strength, is more of a concern in the context of fractures overall rather than specifically in open fractures. Delayed healing can occur with any fracture type due to various factors, including age, nutrition, and overall health, but it does not specifically pertain to the nature of open fractures as prominently as the risk of infection does. Thus, the critical concern remains the heightened risk of infection resulting from the exposed bone and tissue in open fractures.