The management of compound fractures is by no means standardized. The methods of treatment are many and varied, although fundamentally the principles are the same. No one method is applicable to all compound fractures. Before deciding on the procedure, consideration must be given to the location and type of fracture, to the condition of the patient and of the wound and to the posttraumatic time factor.
In 1794 Weldon1 wrote that the "principles in the management of compound fractures" were:
1. To stop hemorrhage.
2. To reduce the bones to their proper situation.
3. To bring every part of the wounded surface into close contact with its opposite surface.
4. To retain both the bones and soft parts in their proper situation until they are united.
5. To moderate the violence of the inflammation.
These principles still hold good.
A compound fracture is an emergency and requires immediate