Frac Mx Flashcards
1
Q
Indications for fixation
A
Open fracture Failed conservative tx Avulsion- comm patella, olecranon, greater tubercle Non united Salter harris 3 and 4 Fracs prone to non union eg NoF. Intertroch frac in eld to avoid immobil complics. 2 fracs 1 limb Bilat identical fracs Intra artic if displ Displ unstable Irreducible Pathological Nursing diffic eg eld, paral, multip trauma Assoc NV inj sev Sev soft tiss dam Req open inspec Comminuted unstable
2
Q
Frac complics gen
A
Hypovol shock eg pelvis, femur- tx crystalloids, colloids, blood, drain ARDS post trauma- inflamm cels in alv sp Fat embol occlus by bm fat eg femur, to lungs/brain etc. DVT, PE- virchows Crush synd- ATN, metab acid, hyperK Tetanus Gas gang clost Pneum Septacaemia
3
Q
Frac complics local early
A
Compartm synd incr VP Visc, vasc, N inj Haemoarthrosis Infec- superfic, osteomyelitis mod, sev gang. Sores, blisters Musc, tend inj
4
Q
Frac complics local late
A
Delayed, non, mal union AVN Reduc growth Myositis ossificans Musc contracture Tendon lesion CRPS- tx physio or N block. T1/2 with/ wo N inj. OA, stiffness, instabil N comp Osteomyelitis Reflex sympathetic dystrophy
