A 36-year-old man with no past history of interest who, after a high-energy trauma following a fall from a motorcycle, presents with a Gustilo grade II open midshaft fracture of the tibia. Which of the following maneuvers or therapies is most effective for preventing infection?
I believe that the most correct is 2, since Gustilo II fractures are mainly covered with Gram (+) by means of a 1st generation Cepha, and it is not a question of prevention but of treatment (it is considered to be contaminated).
Immediate intravenous broad-spectrum antibiotherapy.
Exhaustive debridement-wound lavage in the operating room with at least 10 liters of saline.
Urgent stabilization of the fracture by external fixation and early wound closure.
Early wound closure with antiseptics and oxygen therapy at two liters per minute.
I believe that the most correct is 2, since Gustilo II fractures are mainly covered with Gram (+) by means of a 1st generation Cepha,