Soft tissue injuries are common in situations such as war, disasters, and traffic accidents and require a thorough understanding of management by orthopedic surgeons. The initial treatment of a soft tissue injury is crucial to reduce infection risk and to facilitate tissue healing. This initial approach should include debridement and irrigation, and if there is bone damage, stabilization is necessary. Debridement and irrigation involve the systematic removal of contaminated or necrotic tissue and are the cornerstones of initial treatment. These procedures reduce the bacterial load and create a biological environment in which bone and soft tissue can heal. Stabilization allows for fracture fixation, reducing further damage to surrounding soft tissues and supporting the healing process. Debridement and irrigation are often performed together and may need to be repeated. They should be done in an operating room under general anesthesia. The level of debridement, solution volume, content, and pressure are determined based on the contamination level of the wound and the amount of dead tissue. Fracture fixation is performed according to the condition of the patient and the wound.