Fracture Management and Fracture Assessment Score (Betance 4)

Question 1

Fracture healing = race between ____ _____ and _____ failure

Answer 1

fracture healing; implant (failure)

Question 2

State the aims of fracture repair:

• Encourage _____
• Restore ____ to bone and to surrounding ____ ____
• Obtain a ______ acceptable result
• Early return to _____

Answer 2

• Encourage (healing)
• Restore (function) to bone and to surrounding (soft tissue)
• Obtain a (cosmetically) acceptable result
• Early return to (function)

Question 3

State the term based on the definition:

A method of assessing the clinical situation, not only the fractured bone, as an aid to implant selection. Must assess mechanical biological and clinical factors

Answer 3

Fracture assessment score

Question 4

Describe an example mechanical fracture assessment score of 1-2

Answer 4

Non reducible fragments, multiple limb injury, giant breed (caution!!! bad)

Question 5

Describe an example mechanical fracture assessment score of 5-6

Answer 5

Reducible fragment from preexisting clinical disease large dog (mid risk)

Question 6

Describe an example mechanical fracture assessment score of 9-10

Answer 6

Little risk: single limb toy breed compression fracture

Question 7

_____ bone is associated with low scores such as 0-3 (which is really bad high caution)

Answer 7

Cortical

Question 8

_____ bone is associated with high scores such as 8-10 (which is really good low caution)

Answer 8

Cancellous

Question 9

State the associated fracture score in terms of implants:

Lengthening plate or plate ord combination

Type 2 or 3 EF +/- tie in

Interlocking nail

Plate external fixator combination

Answer 9

Low scores 0-3 (bad)

Long TIP

Question 10

State the associated fracture score in terms of implants:

Bone plate

Type 1 or 2 EF

EF + IM pin

Interlocking nail

IM pin and cerclage wires

Answer 10

Moderate score 4-7

B -one -two TIME

Question 11

State the associated fracture score in terms of implants:

Type 1 ESF

IM pin and cerclage wires

External Coaptation

Answer 11

High scores 8-10 (best case easy to fix)

M-CITE

Question 12

Provide a score:

good client compliance
good patient compliance
stoic
comfort level not considered

Answer 12

High score 8-10

Question 13

Provide a score:

poor client compliance
poor patient compliance
WIMP
High comfort level

Answer 13

Low score 0-3

Question 14

Compare and contrast and give a fracture assessment score

• Reducible
• Predisposing clinical dz
• large breed
• mid to young adult
• minimal invasive approach
• oblique
• tranverse

versus

• compression injury
• juvenile
• excellent health
• good soft tissue
• calcellous bone
• low velocity injury
• closed

versus

• nonreducible
• multi limb injury
• giant breed
• old age
• poor health
• decreased soft tissue
• high velocity injury (HBC)
• extensive approach
• cortical bone

Answer 14

Moderate 4-7

• Reducible
• Predisposing clinical dz
• large breed
• mid to young adult
• minimal invasive approach
• oblique
• tranverse

High score 8-10

• compression injury
• juvenile
• excellent health
• good soft tissue
• calcellous bone
• low velocity injury
• closed

Low score 0-3 BAD

• nonreducible
• multi limb injury
• giant breed
• old age
• poor health
• decreased soft tissue
• high velocity injury (HBC)
• extensive approach
• cortical bone

Question 15

Label the fracture score

• Implant must bridge fracture and assume most if not all of the load, delayed healing is possible or likely
• Less stress and or endurance of implant
• Minimum implant stress because bone shares the load and enhanced healing potential

Answer 15

Low score 0-3
-Implant must bridge fracture and assume most if not all of the load, delayed healing is possible or likely

Moderate score
-4-7-Less stress and or endurance of implant

High score
-8-10-Minimum implant stress because bone shares the load and enhanced healing potential