Background: Management of open fractures remains a major clinical challenge because of the higher energy involved in the injury, the greater local trauma, tissue necrosis, and extensive contamination. Even though early surgical debridement was thought to be critical, limited available operative techniques have minimized surgery in favor of early antibiotic administration. No clear agreement on the surgical approach, debridement, or irrigation technique exists. Surgeons continue to argue about the use of various fluids, the appropriate pressure of irrigation, antiseptics, and other factors. The current work reviews the available data and summarizes the capabilities of modern orthopedic irrigation solutions.

中文翻译：

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骨科开放性骨折的伤口冲洗：综述

背景：开放性骨折的治疗仍然是一个重大的临床挑战，因为损伤涉及更高的能量、更大的局部创伤、组织坏死和广泛的污染。尽管早期手术清创被认为是至关重要的，但有限的可用手术技术已最大限度地减少了手术，有利于早期抗生素给药。关于手术方法、清创术或冲洗技术尚无明确的一致意见。外科医生们仍在争论各种液体的使用、冲洗的适当压力、防腐剂和其他因素。当前的工作回顾了可用数据并总结了现代骨科冲洗解决方案的功能。