This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Orthopaedics
[{'content': 'Following are principles in the treatment of compound fractures except -a) Wound debridementb) Immediate wound closurec) Tendon repaird) Aggressive antibiotic therapy \nSelect and explain. \nA. a, B. bc, C. ac, D. ad', 'role': 'user'}, {'content': "Answer: B \nExplanation: The four essential principles for compound fracture treatment are : -\n\n\nAntibiotic prophylaxis\nUrgent wound and fracture debridement.\nStabilization of the fracture by internal or external fixation.\nEarly definitive wound cover.\xa0\n\n\nAbout option 'b & c'\n\nWound closure can be done immediately if the wound is clean and contamination free after debridement. However, it is not a principle of open fracture management.\nAs a general rule it is best to leave cut nerves and tendons alone, though if the wound is absolutely clean and no dissection is require, and provided the necessary expertise is available, they can be sutured.", 'role': 'assistant'}]