Causes of Delay in the Definitive Treatment of Compound Depressed Skull Fractures: A Five-Year Study from Nigeria

  • Emejulu, J.K.C.
  • Shokunbi, M.T.
  • Malomo, A.O.
  • Adeloye, A.
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Publication date
February 2008
Publisher
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa

Abstract

Background: Calvarial fractures may be linear, depressed or ping-pong, and each can be compound (open) or simple (closed). When depressed fractures become compound, they cause contamination, resulting in intracranial sepsis. All depressed fractures with scalp breach are considered compound, whether or not the breach is contiguous with the fracture. They, therefore, become almost an absolute indication for operative treatment by elevation and debridement, to avert intracranial sepsis. Definitive treatment should be within 72 hours or else it would be unsafe to preserve the bone fragments. Method: This was a retrospective study in which a review of the outcome from management of compound depressed skull fractures (CDSF) in the Institute of Ne...

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