Internal Fixation is primarily used in all except:
Compound fractures
Multiple fractures
Fractures in elderly patient
Fracture neck of femur
Usual treatment for open fractures is debridement (more impoant) and external fixator. Compound fractures treatment depend upon wound size and time duration since injury.Usually compound fractures fall into category >=III A Type and Method of fixation: Grade I Debridement and internal fixation by intramedullary nail and plate. Grades II, IIIA Within 6 hours of injury same as Grade I. After 6 hours same as grades IIIB and IIIc. Grades III B, III C Debridement and external fixation
Fracture Management