Exam 1- Fracture Review Flashcards by B Derms | Brainscape

Q

How Quickly do we Expect this Fracture to Heal up?

A

Rapidly

*Young Animal

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Q

Describe this Fracture

A

Transverse Fracture of Radius with Caudal Displacement

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Q

How Quickly do we Expect this Fracture to Heal once it is Stable?

A

6-8 weeks

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Q

A

Salter Harris Type I and Type V

*Young Dog that is Limping. Radiographs are Done and Everything looks Normal- Recommend Taking Radiographs 2-3 weeks later to Check the growth plates again

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Q

A

Skewer Pin

*Used on Short Oblique Fractures

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Q

What Immobilization Method is Recommended?

A

Surgical Fixation- DCP, LCP

External Skeletal Fixator

*Comminuted Fracture- Likelyhood that it will Collapse is Higher

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Q

What Degree of Activity is Present at the Fracture?

Is there Any Evidence of Bone Healing?

A

Yes- there is a Small Amount of Bone Callus Formation

*This is 6 weeks Later- You would expect it to be Healed. Clearly the Fracture is not Stable

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Q

A

Long Oblique

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Q

If using DCP Plate to Repair the Fracture. What Plating Mode would we use?

A

Bridging Mode

*Try to get the Bone Fragments as Reduced as Possible

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Q

A

Minimally Invasive Plate Osteosynthesis

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Q

A

Pin and Tension Band

*Common Fracture that we See in Young Dogs

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Q

If we use a Pin and Tension Band to Secure this Fracture, is there Any concern for Future Growth/Function of the Limb?

A

Yes- Concerned about Injury at the Level of the Physis

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Q

What term Describes the Placement of this Screw?

A

Lag Screw

*Screw is Placed Perpendicular to the Fracture line which allows us to Compress across the Fracture Line

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Q

Describe the Fracture

A

Right Lateral Humural Condyle Fracture with Proximal and Lateral Displacement

*This type of Fracture is seen VERY commonly

*Salter Harris Type IV

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Q

What Fixation options is/are Recommended?

A

Surgical Repair- DCP

External Coaptation- Cast (Non Comminuted Transverse Fracture)

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Q

A

Yield Point

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Q

A

Alignment

Q

A

Q

A

Know what Salter Harris Type III Fracture Looks Like **

*Type III- Through the Physis and down through the Epiphysis

Q

A

Osteomyelitis/Sequestrum

Q

A

Articular Fractures

Q

Why is External Coaptation not Recommended for this Type of Fracture?

A

Fracture Involves a Joint Surface (Articular Fracture)

Q

A

Osteosarcoma

Osteomyelitis

Q

A

External Skeletal Fixator

*Allows you to have Access to the Wound

Q

What type of Repair must be achieved? What are the Complications that would accompany a Poor Repair?

A

What must be Achieved- Anatomical Reduction (Articular Fracture)

Complications- Degenerative Joint Disease, Joint Immobility

Q

A

Perpendicular

Q

A

Spiral

Q

Describe the Fracture

A

Closed Right Transverse Comminuted Radial and Ulnar Fracture with Lateral Displacement

Q

A

Pin Tract Morbidity/Drainage/Infection

Q

True/False: An Intramedullary Nail would be best for Fracture Fixation

A

False

*Radius is Fractured- Don’t ever put an Intramedullary Nail in the Radius

Q

How would you Describe this Fracture?

A

Closed Left Tibial Avulsion Fracture

*Salter Harris Type 1 Fracture- Across the Physis

Q

What type of Fixation is Recommended?

A

Surgery- DCP

External Skeletal Fixator

*This Fracture is a Delayed Union- Using a Cast/Splint will NOT Work

Q

A

Incomplete (Greenstick)

Q

A

Neutralizing Plate

Q

A

Quadriceps Contracture

Q

A

Intramedullary Pin

Interlocking Nail

Q

What Immobilization/Fixation Method is Recommended for this Fracture?

A

Pin and Tension Band

Q

A

70%

Q

A

>/= 0.5 cm

Q

A

Cefazolin

*Want to Prevent Staphyloccous from Getting into the Wound- Staph is the #1 Bug that is on the Skin

Q

A

Core Diameter