29. Factors to be considered when deciding whether to splint

Question 1

29. Factors to be considered when deciding whether to splint

Answer 1

Purpose of a splint(lastaus)
-temporary immobilization
-treatment of fractures
> +/- surgery
-prevention of self-mutilation
-reduction of oedema

Splint or not to splint?
-mechanical factors
>mechanical factors to be considered when determining patient fracture assessment.
>conditions occurring on the left(e.g.,buttress function and multiple limb injury)place maximum stress on an implant system and require thoughtful implant choice and application.
>in contrast,if conditions on the right are present,less stress is applied to the implant system,reducing the risk of complications.

Splint or not to splint?
-biological factors
>biological factors to be considered when determining patient fracture assessment.
>patient factors listed on the left do not favor rapid healing;thus,the implant system must remain in place for prolonged periods.
>in contrast, patient factors on the right dictate rapid healing and necessitate that the implant function for a short time.

Splint or not to splint?
-clinical factors
>clinical factors to be considered when determining patient fracture assessment.
>clinical factors on the left(poor client compliance,poor patient compliance,wimp,high comfort level required)necessitate(edellyttää)a comfortable implant system that requires little postoperative maintenance,whereas any implant system(regardless of postoperative maintenance)is appropriate with clinical factors on the right(good client compliance,good patient compliance,stoic,comfort level not consideration).

Splint or not to splint?
-all factors must be taken into count:
>fracture characteristics
>duration until repair and possible surgical options
>patient’s overall condition
>availability of aftercare
-splint only in case of favourable conditions

Complications
-distal oedema
-splint slippage
-skin damage–maceration(mädäntyminen)
-delayed surgical site healing
-nonunion
-ischemic necrosis