What is the best way to immediately stabilize an open tibial fracture in a dog with pulmonary contusions?

To stabilize an open tibial fracture in a dog with pulmonary contusions, the usage of a Robert-Jones bandage is particularly effective due to its capability to provide support and immobilization of the limb while also controlling swelling. The Robert-Jones bandage consists of layers of padding and a cohesive bandage that allows for effective stabilization without the need for immediate surgical intervention.

In the context of an open fracture, this bandaging technique not only helps in stabilizing the fracture site but also provides a protective cover to minimize the risk of contamination and further injury. Given the presence of pulmonary contusions, it is crucial to avoid any additional stress on the dog, making the Robert-Jones bandage a practical choice for initial management.

While other methods like splints or external stabilization also serve to immobilize fractures, they may be less effective in providing comprehensive coverage and support in the acute phase or in a dynamic situation like one with concurrent pulmonary injury. Tourniquets could pose a risk of compromising blood flow to the limb, making them less appropriate for stabilizing an open fracture, and splints may not offer the same level of stability or protection as the Robert-Jones bandage in this scenario.