An open fracture is defined as a fracture which involves the overlying soft tissue structures such that there is communication between the fracture and the open air .
The diagnosis is straightforward when bone is visible through a wound. However the diagnosis can be more subtle with puncture wounds.
The major complication that can arise from open fractures is osteomyelitis . Early diagnosis allows timely interventions to minimize the chances of osteomyelitis and is crucial for the Emergency Physician.