External coaptation Flashcards
External coaptation includes?
Casts splints slings braces bandages
External coaptation is good at neutralizing?
Bending
fair at torsion
3 major advantages of external coaptation
Minimal disruption of blood supply
minimal effect of physeal growth
Can be cheaper
Disadvantages of external coaptation (6)
poor control over compression and tension
less rigid
alignment and reduction is difficult
Joints above and below MUST be immobilized
Cannot be used on the humerus, femur, and pelvis
rub sores common
Disadvantages of external coaptation (6)
poor control over compression and tension
less rigid
alignment and reduction is difficult
Joints above and below MUST be immobilized
Cannot be used on the humerus, femur, and pelvis
rub sores common
3 indications for using external coaptation
Transverse fractures
fractures stabilized by another bone
temporarily stabilize fractures
immobilizing joints
Most important principle of external coaptation
Thout shall immobilize the joint above and below the fracture
What do you leave sticking out of the end of a bandage?
The tips fo digits 3 and 4 only to assess perfusion and congestion
Why do we bandage all the way down the limb if we don’t have a fracture down there?
To prevent venous congestion
What position should you coapt the limbs in?
Normal walking position
Define valgus and varus
Valgus = L away from centre of body Varus = towards center of body
5 types of external coaptation
Bandages casts splints slings braces
5 types of splints
lateral spica mason metasplint (spoon) molded palmar Schroeder thomas
Are bandages appropriate for fractures?
Not alone, they are more for covering wounds and providing slight support
Are bandages appropriate for fractures?
Not alone, they are more for covering wounds and providing slight support