What is the preferred method for long-term management of fractures with overlying burn injuries?

The preferred method for long-term management of fractures with overlying burn injuries is the use of external fixation devices. This approach is particularly beneficial in the context of burns because it allows for stabilization of the fracture without compromising the healing of the burn wound.

When overlying burns occur, the area may be prone to infection, require ongoing wound care, and be sensitive to further trauma. External fixation devices offer the advantage of being applied without the need to manipulate the burn wound directly, thereby minimizing the risk of disrupting the healing process. Additionally, these devices provide adequate stability for the fracture while allowing for access to the injured area for continuous monitoring and care of the burn.

Traditional casting, while suitable for many fractures, may not be appropriate for patients with burns due to the need for regular dressing changes and the risk of pressure sores or further injury to the burn site. Internal fixation could involve surgical intervention that may interfere with burn treatment and healing. Traction might not provide the necessary stability for fracture management in the presence of extensive burn injuries.

Overall, the use of external fixation is the most suitable option, balancing the need for fracture stabilization with the delicate care required for burn treatment.