How is an open fracture defined?

An open fracture is defined specifically by the fact that the bone ends are exposed to the external environment, which typically indicates that there is a break in the skin over the fracture. This exposure increases the risk of infection and complicates the treatment compared to closed fractures, where the skin remains intact. In the case of an open fracture, the significant concern is not just the fracture itself but also the potential for contamination and soft tissue injury that can accompany it. This understanding is crucial for medical personnel in deciding the appropriate immediate care and interventions needed to manage such injuries effectively.