"A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds"
"CONCLUSIONS
The rates of reoperation were similar regardless of irrigation pressure, a finding that indicates that very low pressure is an acceptable, low-cost alternative for the irrigation of open fractures. The reoperation rate was higher in the soap group than in the saline group. (Funded by the Canadian Institutes of Health Research and others; FLOW ClinicalTrials.gov number, NCT00788398.)"
http://www.nejm.org/doi/full/10.1056/NEJMoa1508502?query=featured_home
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