Non-diaphyseal fracture repair and Growth Deformity Flashcards
Why is it particularly important to consider blood supply in a juvenile fracture?
Blood vessels do not cross the physis but the metaphysis and epiphysis have separate supplies.
Why is compressive fixation especially important in a joint fracture?
It prevents callus formation which would not be very beneficial in a joint. It also prevents ingress of synovial fluid which is detrimental to fracture healing.
What should be done if it cant be put back together?
It would need to be salvaged.
Why is accurate anatomical reduction needed?
To restore the smooth articular surface.
What is an avulsion fracture and what needs to be considered with this type of fracture?
A fracture f a site of major muscle attachement. Consider the pulling of the muscle on the fragment. Wires can be used to oppose this force and create a resultant, compressive force at the fracture site.
How would a joint and diaphyseal fracture be treated?
Temporary bridging of the joint with an ESF
How can an injury or osteochondral condition result in a deformity?
Growth at part of the physis may be halted/interrupted resulting in a change in the angle of bone growth. The priority with treatment is pain management.
