1
Should tranexamic acid (TXA) be administered pre-hospital in patients
with open fractures with active bleeding?
Dr.Christian Fang, Dr.Chetan Pradhan, Dr.Arvind
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2
In open fractures, is compartment pressure monitoring essential in
uninvolved compartments?
Dr.Jae-Woo Cho, Dr.Siddharth Sharma, Dr.K P Srikkanth
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3
Should immediate reduction of protruding bone fragments or open
dislocations be attempted in the emergency department prior to formal
debridement?
Dr.Antonio Gardner, Dr.Ajith Kumar, Dr.Rajabhaskar
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4
Should preliminary wound irrigation with saline be performed in the
emergency department prior to surgical debridement?
Dr.Roman Pfifer, Dr.Lalit Maini, Dr.BRW Armstrong
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5
Can regional anaesthesia be used in patients for pain relief before
transfer to the operating theatres for debridement?
Dr.S Raja Sabapathy, Dr.Venkateshwaran, Dr.Mounusha
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6
Is human tetanus immunoglobulin mandatory in all cases of open
fracture?
Dr.Michel Teuben, Dr.Unmesh Chakravarthy, Dr.Mohammed Zackariya
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1
Does a delay in surgical debridement beyond the traditional “six-hour
window” independently increase the risk of deep infection?
Dr.Christian Fang, Dr.Chetan Pradhan, Dr.Arvind
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2
In Gustilo Grade III injuries, is it acceptable to delay debridement
beyond
six hours in order to await an experienced surgical team?
Dr.Fareed Kagda, Dr.Singaravadivelu, Dr.Gokul Dev
3
Should debridement be deferred until serum lactate has normalised in
polytrauma or isolated long bone open fractures?
Dr.Chris Hans Pape, Dr.Vivek Trikha, Dr.Keerthan
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4
Should the timing of surgical debridement differ between low-energy and
high-energy open injuries?
Dr.Hayder Al Saadi, Dr.Thirunarayanan, Dr.Harsha
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5
Does the use of a pneumatic tourniquet reduce blood loss and improve
the
quality of debridement?
Dr.Ravindra Bharathi, Dr.Vamseedharan Muthukumar, Dr.Roopesh
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6
Is the routine use of surgical magnification (e.g., loupes) recommended
to
enhance visualisation and improve debridement quality?
Dr.Ravindra Bharathi, Dr.Vamseedharan Muthukumar, Dr.Roopesh
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7
Is chlorhexidine or povidone-iodine the preferred solution for
disinfecting
extruded bony fragments prior to reimplantation?
Dr.Thierry Beque, Dr.Sushruth Babhulkar, Dr.Mohammed Asrar
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8
Is there a minimum volume of saline required for effective
debridement?
Dr.Antonio Gardner, Dr.Ajith Kumar, Dr.Rajabhaskar
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9
Is there a role for pulsatile lavage during debridement of open
injuries?
Dr.Kevin Tetsworth, Dr.Shailesh pai, Dr.Sahith
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10
Is a routine “second-look” debridement at 48 hours mandatory in severe
Grade III or crush injuries?
Dr.Rodrigo Pesantez, Dr.Dhaval Desai, Dr.Aditya Yagnik
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11
Does photodynamic disinfection (light-activated antimicrobial therapy)
represent a promising adjunct for decontamination of devitalised tissue?
Dr.Chris Hans Pape, Dr.Vivek Trikha, Dr.Keerthan
12
Should techniques such as laser fluorescence or indocyanine green
angiography be routinely utilised to assess soft tissue viability during
debridement?
Dr.Michel Teuben, Dr.Unmesh Chakravarthy, Dr.Mohammed Zackariya
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13
In patients with contaminated open fractures, does ultrasonic
debridement compared with conventional manual curettage improve decontamination?
Dr.Roman Pfifer, Dr.Lalit Maini, Dr. BRW Armstrong
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14
Is aggressive initial debridement superior to tissue-preserving
strategies?
Dr.Hari Venkatramani, Dr.Romi, Dr.Senthil Velan
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15
Can we objectively assess the quality of debridement in open
injuries?
Dr.Emmanouil Liodakis, Dr.Ashok Gavaskar, Dr.Thiaghu
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16
Are mechanical suction drains effective for dead space management
following
debridement?
Dr.Marinis Pirpiris, Dr.Anup Agrawal, Dr.Terrence Jose Jerome,
Dr.Surendran G
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17
Is the establishment of an orthoplastic service compelling in
contemporary
practice?
Dr.S Raja Sabapathy, Dr.Venkateshwaran, Dr.Mounusha
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18
Is a mangled extremity appropriately defined as simultaneous injury to
at
least three of the following components: skeletal, vascular, soft tissue, and neural
structures?
Dr.Ronald Wong, Dr.Vasudeva Juvvadi, Dr.Muthukumar
19
Should the decision between limb salvage and amputation always involve
two
consultants?
Dr.Ronald Wong, Dr.Vasudeva Juvvadi, Dr.Muthukumar
20
Is posterior tibial nerve injury an indication for amputation?
Dr.Hari Venkatramani, Dr.Romi, Dr.Senthil Velan
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1
Should antibiotic-containing irrigation solutions be routinely
employed?
Dr.Hayder Al Saadi, Dr.Thirunarayanan, Dr.Harsha
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2
Should prophylactic antibiotic administration be limited to a single
dose,
or continued for up to 72 hours?
Dr.Carlos Valderrama, Dr.Neeraj Bijilani, Dr.Sanjana
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3
In patients undergoing delayed soft tissue coverage, should antibiotic
therapy be continued until definitive closure is achieved?
Dr.Peter Giannoudis, Dr.Durgaprasad Valleri, Dr.Rakesh
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4
In patients requiring multiple staged reconstructive procedures, should
antibiotic therapy be administered intermittently or continuously until the final
stage?
Dr.Mario Morgenstern, Dr.Sujit Kumar Tripathy, Dr.Lester frank
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5
Does the placement of an antibiotic cement spacer confer benefit for
dead
space management in segmental bone defects following debridement?
Dr.Marinis pirpiris, Dr.Anup Agrawal, Dr.Terrence Jose Jerome,
Dr.Surendran G
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6
Do open pelvic injuries require a different antibiotic protocol?
Dr.Zsolt Balogh, Dr.Sithombo Maqungo, Dr.Abhay Elhence, Dr.Imran Asif
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7
Is there a routine role for local antibiotic delivery in the management
of
open fractures?
Dr.Kevin Tetsworth, Dr.Shailesh pai, Dr.Sahith
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8
In patients with uncontrolled diabetes mellitus, should the duration of
antibiotic therapy be extended until wound healing is achieved?
Dr.Jae-Woo Cho, Dr.Siddharth Sharma, Dr.K P Srikkanth
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9
In farmyard-related open injuries, should empirical antibiotic regimens
include antifungal agents in addition to anaerobic coverage?
Dr.Khaleed Emara, Dr.K C Sreekanth, Dr.Praveen
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10
Should IV cefuroxime be adopted as the standard prophylactic
antibiotic, or
should antibiotic selection be guided by local hospital protocol?
Dr.Vikas Agashe, Dr.Adithya Menon, Dr.Arun kamal
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11
Is there a role for oral antibiotics following primary surgical
debridement
of open injuries?
Dr.Ramasubramanyam, Dr.V.M Balasubramani, Dr.Sivakumar SP
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12
Should cultures be obtained prior to every stage of
reconstruction?
Dr.Vikas Agashe, Dr.Adithya Menon, Dr.Arun kamal
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1
Is the Gustilo–Anderson classification system still a valid tool for
classifying open injuries?
Dr.Sunny Parikh, Dr.Shanmukha Babu, Dr.Roopesh
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2
Is there a clear preference regarding the choice of scoring systems in
open
injuries?
Dr.Ramesh P, Dr.Navin Thakkar, Dr.Srinivas kambhampati
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3
Should open fractures only be definitively classified after surgical
debridement rather than in the ER?
Dr.S Rajasekaran, Dr.Jamal Ashraf, Dr.Sindhura Yamajala, Dr.Suriyan
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4
Can existing open injury classification systems be reliably
extrapolated to
upper limb injuries?
Dr.Martin Jaegger, Dr.Venkatadas, Dr.Stefano Conti, Dr.Aadhavan
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5
Can existing open injury scores be applied to paediatric
populations?
Dr.Martin Jaegger, Dr.Venkatadas, Dr.Stefano Conti, Dr.Aadhavan
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6
Are existing classification systems adequate for characterising open
pelvic
injuries?
Dr.Zsolt Balogh, Dr.Sithombo Maqungo, Dr.Abhay Elhence, Dr.Imran Asif
7
Are current classification and scoring systems adequate for predicting
limb
salvage versus amputation?
Dr.Sunny Parikh, Dr.Shanmukha Babu, Dr.Roopesh
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1
In segmental bone defects measuring less than 4 cm, is acute limb
shortening to facilitate wound closure, followed by distraction osteogenesis, an
acceptable strategy?
Dr.Marco Berlusconi, Dr.Ashok Shyam, Dr.Pushkar Chawla, Dr.Mouli Chandar
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2
Is there a definitive role for circular (ring) external fixators in the
acute management of open injuries with bone loss?
Dr.Devendra, Dr.Milind Chaudhary, Dr.Govardhan, Dr.Raahul,
Dr.Arjun
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3
In open injuries with segmental bone defects, is the Masquelet
technique
preferable to distraction osteogenesis?
Dr.Peter Giannoudis, Dr.Durgaprasad Valleri, Dr.Rakesh
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4
Is primary autologous bone grafting recommended for critical bone
defects
following adequate debridement and stabilisation?
Dr.S Rajasekaran, Dr.Jamal Ashraf, Dr.Sindhura Yamajala, Dr.Suriyan
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5
Is 14 days an absolute safe interval for conversion from external
fixation
to internal fixation?
Dr.N.K.Kanakaris, Dr.Owais Ahemad, Dr.Ashutosh
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6
Should early conversion from external to internal fixation be guided by
serum procalcitonin trends rather than fixed time intervals?
Dr.N.K.Kanakaris, Dr.Owais Ahemad, Dr.Ashutosh
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7
Is bone transport (distraction osteogenesis) performed underneath a
flap, a
safe and effective primary management for bone defects?
Dr.Dheenadhayalan, Dr.Vetrivel Chezian, Dr.Nagashree V, Dr.Varsha
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8
In open injuries with segmental bone loss, should primary stabilisation
using a Limb Reconstruction System (LRS) be preferred over conventional external
fixation?
Dr.Dheenadhayalan, Dr.Vetrivel Chezian, Dr.Nagashree V, Dr.Varsha
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9
Are there well-defined criteria for performing definitive internal
fixation
immediately after index debridement?
Dr.Emmanouil Liodakis, Dr.Ashok Gavaskar, Dr.Thiaghu
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10
Should vascular shunting be performed prior to definitive bone fixation
to
minimise warm ischaemia time, or should it follow bony fixation?
Dr.Vincenzo Giordano, Dr.Samarth Mittal, Dr.Harish
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11
In major crush injuries of the upper limb, should limb salvage be
prioritised due to the limited availability of prosthesis?
Dr.Alvaro Zamorano, Dr.Kateros Konstantinos, Dr.Sibin, Dr.Rithabh kumar
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12
Can critically important extruded articular bone fragments (e.g., talus
or
femoral condyle), retrieved from the injury site despite contamination, be safely
reimplanted following appropriate decontamination?
Dr.Fareed Kagda, Dr.Singaravadivelu, Dr.Gokul Dev
1
In open injuries that have undergone adequate debridement, is primary
wound
closure acceptable in the absence of skin loss?
Dr.Rahat Jarayabhand, Dr.Rajiv Chatterjee, Dr.Velmurugesan,
Dr.Thirumurugan
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2
Which local flap procedures should all orthopaedic trauma surgeons be
trained to perform in emergencies?
Dr.Rajendra Nahate, Dr.Praveen Bharadwaj, Dr.Vigneshwaran
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3
When used as a bridge to definitive closure, does NPWT significantly
reduce
infection risk compared with saline-soaked gauze dressings?
Dr.Ahmad Arief, Dr.Raju Iyyengar, Dr.Imran Asif
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4
Can biological dressings (e.g., temporary skin substitutes) effectively
prevent cortical bone necrosis while awaiting definitive flap coverage?
Dr.Rajendra Nahate, Dr.Praveen Bharadwaj, Dr.Vigneshwaran
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5
Should 72 hours be regarded as the cut-off when distinguishing “early”
from
“delayed” soft tissue coverage?
Dr.Rahat Jarayabhand, Dr.Velmurugesan, Dr.Rajiv Chatterjee,
Dr.Thirumurugan
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6
Is there a role for simultaneous fix and flap in open injuries?
Dr.Devendra A, Dr.Milind Chaudhary, Dr.Govardhan, Dr.Raahul, Dr.Arjun
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7
What constitutes the optimal suction pressure and duration in
NPWT?
Dr.Alvaro Zamorano, Dr.Kateros Konstantinos, Dr.Sibin, Dr.Rithabh kumar
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8
What is the role of continuous irrigation with negative pressure
dressings
designed for instillation therapy?
Dr.Mario Morgenstern, Dr.Sujit Kumar Tripathy, Dr.Lester frank
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1
Should outcome registries for open fractures be globally standardised
to
enhance the accuracy of prognostic models?
Dr.Thierry Beque, Dr.Sushruth Babhulkar, Dr.Mohammed asrar
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2
Should return to work status be utilised as a primary outcome measure
in
open fractures?
Dr.Vincenzo Giordano, Dr.Samarth Mittal, Dr.Harish
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3
Should patient-reported outcome measures (PROMs) be prioritised over
objective clinical metrics in assessing the success of limb salvage?
Dr.Wael Taha, Dr.Santosh Ram Gaddam, Dr Hemraj Bhaskar
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4
Is the long-term functional outcome following early amputation superior
to
that of delayed amputation after failed limb salvage?
Dr.Marco Berlusconi, Dr.Ashok Shyam, Dr.Pushkar Chawla, Dr.Mouli Chandar
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5
Does concomitant traumatic brain injury significantly accelerate
fracture
union in open injuries?
Dr.Ramesh P, Dr.Navin Thakkar, Dr.Srinivas kambhampati
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