Orthopaedics Flashcards

1
Q

Abnormal intracompartmental pressure

A

> 20mmHg abnormal

>40mmHg diagnostic of compartment syndrome

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2
Q

How long before muscle death occurs in compartment syndrome?

A

4-6 hours

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3
Q

Treatment options for compartment syndrome

A

Fasciotomy

Debridement and amputation

Aggressive IV fluids if myoglobinuria to prevent AKI

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4
Q

5 Ps of compartment syndrome

A

Pain (out of proportion, and on passive movement)
Paraesthesiae
Pallor
Pulseless (although pulse may be present)
Paralysis

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5
Q

Grading of open fractures (GUSTILO AND ANDERSON)

A
  1. Low energy wound <1cm
  2. > 1cm wound with moderate tissue damage
  3. High energy wound >1cm with extensive tissue damage
    3a adequate soft tissue coverage
    3b inadequate soft tissue coverage
    3c arterial injury
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6
Q

Initial management of open fractures

A
Control haemorrhages 
Dressing
ABX
Distal neurovascular status 
Debridement, keep open, irrigate with 6L of saline 
Stabilise with external fixator
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