[Fractures of the extremities with open soft tissue injury. Complications and treatment concept].

In the history and also in the present time the open fractures of the extremities have a high rate of complications after the operative treatment. In our extract we will point the problems in this treatment. Also we want to show the effective ways to sink the complications. We describe the differences in the treatment of the open and closed fractures. With regard of the methods the osteosynthesis, the technique of the operative treatment and the after treatment of open fractures of the extremities we give directions for the universal and special treatment.