Fracture Management Flashcards
Complete stability is present in what type of fracture
Transverse
No stability to shortening is present in what type of fractures
Oblique
spiral
communicated
Potential stability is present in what type of fractures
Oblique
<45 Degrees
Management Open fractures
Tetanus and Antibiotics
All ops within 24 hours
Do not close wound
Aim for skin cover in open fractures within
5-7 days
Functional bracing for what type of fracture
Long bones eg Femur, Tibia, Humerus
Joints left free to mobilise
Skeletal Traction common in
Femur and Tibia Fractures
Indications for External Fixation
Fractures with Poor Soft Tissue Conditions
Emergency Pelvic Stablisation to control Bleed
Limb Reconstruction
Complications in External Fixation
Neurovascular Injury
Pin Tract Infection
Loss of Fracture Alignement
Joint Conractures
Tardy Union
Indications for intramedullary nailing
Long Bone Diaphyseal Fracture eg
Tibial
Femoral
Humeral
Paediatric
intramedullary nailing advantages
preserve periosteum
avoid necrosis
joint free to move
incision remote from fracture
risk of internal fixation screw and plates
devascularisation
infection
wound problems
