A 28-year-old man was brought to the ER due to head injury. He had gotten into a fight with his neighbor, who hit his head with a piece of wood. On examination, he was awake and alert. There was an open wound at the right side of his head. After the wound was cleaned and dressed, a CT scan was done, which showed a depressed fracture. 

The patient was brought to the OR for debridement (removal of damaged tissue) of the open depressed skull fracture. This was done mainly to prevent infection. After the bone pieces were removed, it was found that the covering of the brain was torn as well, so this was also cleaned and repaired to prevent meningitis and other infections. The patient did well and was discharged after completion of antibiotic treatment.