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Blisters Associated with Lower Extremity Fracture

Results of a Prospective Treatment Protocol
This study was undertaken to evaluate patient outcomes after treatment of fractures in the face of fracture blister formation and to assess complications following soft-tissue treatment with a prospective protocol.
Conclusion/Significance: Treatment of fracture blisters with a silver sulfadiazine (Silvadene) regimen proved to be successful in minimizing soft-tissue complications by promoting re-epithelialization in all nondiabetic patients. We urge caution when planning to make a surgical incision around an area of both full thickness (blood-filled) and partial thickness (clear-filled) fracture blisters in diabetic patients as the zone of injury certainly extends beyond the borders of the fracture blister. Treating fracture blisters with a standardized Silvadene regimen may minimize soft-tissue complications associated with fracture management.

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Fracture Blisters

Powerpoint by Cheryl Kimber NP. ONC MN(NP) MRCNA. Presented at the combined SAON and SAWMA Education meeting. May 2006

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Fracture Blisters A Review of the Literature

Article from: Dermatology Nursing Article date: December 1, 1997 Author: McCann, Susan; Gruen, Gary
Following orthopaedic trauma, fracture blister formation creates a disruption in skin integrity for the injured patient and unique care challenges. This article presents a review of the current literature and includes a discussion of the anatomy of the skin, pathophysiology of fracture blisters, and a review of current research.
Full text available as a free trial with Highbeam

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Fracture Blisters Wheeless

- refers to the blisters which from swollen skin overlying fractures;
- most commonly arise over tibia, ankle, and elbow;
- when fracture blisters are present at the time of surgery, wound complications will develop in the majority of patients;
- when fracture blisters develop following surgery, wound complications are infrequent;

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Perioperative Management of Fracture Blisters

Current controversies in Podiatry.
Perioperative fracture treatment complicated by fracture blisters remains a topic of controversy. These blisters may delay surgery, alter the optimum treatment plan, promote wound infection, delay wound healing, and ultimately prolong recovery.

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