Fracture Management Flashcards
1
Q
what are the 4 Rs of fracture management?
A
resuscitation
reduction
restriction
rehabilitation
2
Q
what are the 6As for open fracture treatment ?
A
analgesia assess - NV status, soft tissues antisepsis - wound swab alignment - align and splint antitetanus - check status Abx - flucloxacillin and benpen
3
Q
what is the classification called for open fractures ?
A
Gustillo classification
- wound <1cm
- wound >1cm
- extensive soft tissue damage
4
Q
what si the most dangerous complication of open fractures ?
A
clostridium perfringes
5
Q
what are the three methods of reduction ?
A
manipulation
traction
open reduction
6
Q
what fractures are reduced using open reduction ?
A
intraarticular open fractures 2 fractures in one limb failed conservative Tx bilateral fractures
7
Q
what are 6 methods of restriction ?
A
non rigid plaster functional bracing continuous traction external fix internal fixation
8
Q
give an example of a continuous traction
A
collar and cuff
9
Q
give some methods of rehabilitation ?
A
physio
OT
social services - meals on wheels, home help
10
Q
what is the treatment of clostridium perfringes ?
A
debride
benpen
clindamycin
