Debridement of devitalized tissue along with irrigation has become the gold standard in trauma surgery for the initial treatment of open fractures and prevention of infection. The method of wound irrigation is still an area of much debate. Low pressure pulsatile lavage (LPPL) is suitable for relatively clean wounds less than three hours from time of injury, while at 6 hours High pressure pulsatile lavage (HPPL) may result in greater removal of bacteria and debris.�