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The aim of treating a depressed, compound skull fracture is to prevent infection by:
Ideally, all steps are to be done within 6 hours or at most, 12 hours.
A dural substitute - e.g. fascia lata from the thigh - may be necessary if part of the dura has been lost. This stops the dura from sticking to the skin and reduces the risk of tearing blood vessels if later cranioplasty needs to be done.
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