American Board of Surgical Assistants (ABSA) Orthopedic Practice Test 2025 - Free Orthopedic Practice Questions and Study Guide

The statement regarding not irrigating the wound with saline is considered incorrect primarily because in wound management for open fractures, irrigation is an important aspect of care. Proper irrigation can help to clean the wound, reduce bacterial load, and prepare the site for further treatment. It is a critical step in the initial management of open fractures to prevent infection, which is one of the primary complications associated with such injuries.

In contrast, covering the wound with a dry sterile dressing is standard practice, as this helps to protect the area from external contamination. Not attempting to reduce the fracture is also crucial; attempting to realign the bone could introduce further damage or complicate the situation if not done in a controlled setting. Furthermore, splinting and immobilizing the joints above and below the fracture help to stabilize the injury and prevent movement, which is essential during transport. These practices are in line with established protocols for managing open fractures in a trauma setting.