FC Orth(SA) Final Practice Questions - Fellowship Of The College Of Orthopaedic Surgeons Of South Africa Final Examination FC Orth(SA) Final Exam

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A 28-year-old male motor vehicle accident victim presents with a Gustilo-Anderson Grade IIIB open tibial shaft fracture with a 6 cm anterior skin defect and periosteal stripping. Following emergency surgical debridement and joint-spanning external fixation within 6 hours of injury, what is the optimal timeframe for definitive soft tissue coverage to minimize post-operative infection rates?

Within 72 hours of injury At 14 to 21 days after initial granulation formation Within 48 to 72 hours of injury Delayed until 6 weeks post-injury after fracture callus formation

Correct Answer:

Within 48 to 72 hours of injury

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