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This review outlines the management of open fractures in the lower limb from the initial patient presentation to operative management (including debridement, skeletal fixation, definitive soft tissue coverage) according to the standards jointly published by the British Orthopaedic Association (BOA) and the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS). Additionally, the decision-making between limb salvage or amputation will be explored. Finally, this review will discuss the patient\u2019s postoperative care including wound care and management of potential complications that may arise such as infection, flap failure and fracture non-union.<\/jats:p>","DOI":"10.1177\/17504589211012150","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T14:26:35Z","timestamp":1625235995000},"page":"100-107","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Perioperative management of open fractures in the lower limb"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8140-3965","authenticated-orcid":false,"given":"Bryan","family":"Loh","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK"},{"name":"School of Clinical Medicine, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1610-7956","authenticated-orcid":false,"given":"Jiang An","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK"},{"name":"School of Clinical Medicine, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5850-125X","authenticated-orcid":false,"given":"Matthew","family":"Seah","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wasim","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, 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