General principles of fractures

Question 1

treatment of simple, minimally displaced extra articular fracture in acceptable alignment and stable

Answer 1

conservative treatment and splint

Question 2

if position is unacceptable what should be done

Answer 2

reduce

Question 3

is fracture unstable and the patient is fit

Answer 3

operative stabilisation

Question 4

what should be avoided if high energy and substantial soft tissue swelling

Answer 4

open reduction internal fixation

Question 5

what should be done in a high energy or substantial soft tissue swelling

Answer 5

wait till soft tissue settles

indirect techniques - externally fixate

Question 6

treatment of undisplaced intra articular fractures which is stable

Answer 6

treat non operatively

Question 7

treatment of displaced intra articular fracture

Answer 7

anatomic reduction and rigid internal fixation to prevent post traumatic osteoarthritis

Question 8

peri articular fracture which risk non-union and AVN would be better of with what management

Answer 8

joint replacement

Question 9

what should be done in open fractures

Answer 9

antibiotics, tetanus, early debridement and operative stabilisation

Question 10

what should be done in compartment syndrome

Answer 10

fascioctomy and operative stabilisation

Question 11

what should be done in vascular injury

Answer 11

reduction, stabilisation and re assess circulation. may need revascularisation procedure

Question 12

what should be done in a nerve injury

Answer 12

if its an open fracture - explore

if closed fracture - reduce fracture and hold. recheck and observe