Fracture Care And Types

Question 1

What are the clinical signs of fractures?

Answer 1

Swelling
Pain
Loss of ROM
Associated deformity

Question 2

What is the guiding principle of fracture care?

Answer 2

Reduce fracture
Hold it reduced until united - sling or procedure
Rehabilitate the limb so it can recover its function

Question 3

What are the techniques for fracture reduction?

Answer 3

Closed - pushed, disimpaction, traction, rotation

Open - direct access + surgical approach

Question 4

What are the options for fracture stabilisation?

Answer 4

Splints/braces 
Casts 
Implants: 
- External fixation 
Internal fixation:
-intra-medullary 
-extra-medullary

Question 5

What is the general rule for casts?

Answer 5

Immobilise the joint above and below

Question 6

What are the principles of fracture management?

Answer 6

1. Resuscitate (ATLS principles)
2. Reduce/manipulation
   3 . Immobilising
3. Rehabilitate