Orthopaedic's

Question 1

What does VON CHOP stand for and when it is used?

Answer 1

V: Vascular compromise

O: Open fracture

N: Neurology compromise/cauda equina

C: Compartment syndrome

H: Hip dislocation

O: Osteomyelitis

P: Unstable pelvic fractures

Orthopaedic emergencies

Question 2

How do you describe a fracture?

Answer 2

Location

What part of bone

Open vs closed

Complete/incomplete

Fracture pattern

Displacement/Angulation/Translation/Rotation

Dislocation

Other associated injuries

Classification system

Question 3

What is the Gustilo-Anderson classification system for? Outline it?

Answer 3

Open fractures

I: <1cm in length

II: >1cm in length

III: >10cm (III is split further into A, B, and C)

Question 4

What do you give all patients with an open fracture?

Answer 4

Tetanus

Abx - Cephazolin (+/- gentamicin, penicillin)

Question 5

What are some early complications of fractures?

Answer 5

Infection

Bleeding

Compartment syndrome

Fat embolism

DVT/PE

Wound issues

Neurovascular compromise

Question 6

What is spondylolisthesis?

Answer 6

Forward displacement of a vertebrae typically secondary to a fracture

Question 7

What is a gibbus?

Answer 7

It is a sharp, angular kyphosis of the spine with protrusion of the spinous process at the apex of the deformity