Physeal Fractures — Growth Plates Under Pressure

In this episode of BoardCast, we shift focus to one of the most time-sensitive and high-stakes situations in small animal orthopedics: the open fracture.

We explore:

• How force, strain, and biology interact at injury sites
• Why initial wound care sets the stage for surgical success (or failure)
• The Gustilo-Anderson open fracture classification — and what it predicts
• When to debride, what to remove, and when to stabilize
• Internal vs. external fixation, and the role of bone grafting
• Common complications and how to mitigate them
• A framework for real-world triage and revision planning

This episode offers practical, high-yield guidance on a topic where timing, tissue handling, and surgical judgment are everything.

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