Determine the safety and efficacy of antibiotic prophylaxis in type II and II open fractures when using IV Cephalosporin and aminoglycoside.~Identify the incidence of acute kidney injury.~Identify the type and number of associated infections~Identify the antibiotic resistance profile noted~Identify any secondary infections at sites other than the fracture site
Determine if antibiotic prophylaxis with intravenous cephalosporin and aminoglycoside in patients with Type II and II open fractures is safe and effective.