Which feature most strongly suggests that a fracture is open rather than closed?

Correct answer: A. A wound communicating with the fracture

  • A. A wound communicating with the fracture
  • B. Crepitus during limb examination
  • C. Pain on movement of the limb
  • D. Swelling around the fracture site

Explanation

An open fracture communicates with the external environment through a skin or mucosal wound, exposing the fracture to contamination. Pain, swelling, and crepitus can occur in both open and closed fractures.

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Covers principles of asepsis, tissue handling, haemostasis, wound healing, surgical instruments, sutures, anaesthesia and perioperative care. It includes common procedures and conditions involving the skin, abdomen, bones, joints and urinary or reproductive tracts, while distinguishing surgical emergencies from cases managed medically.

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