Orthopedic surgery Flashcards
Closed fracture =
no communication with external environment
Open fracture =
communication of fracture site with external environment
Why is a backslab cast initially applied?
to allow room for swelling
Management of compartment syndrome?
- remove all circumferential dressings
- maintain normal pressure (avoid hypotension)
- if it doesnt resolve in 30 minutes - > fasciotomy
How is compartment syndrome diagnosed?
- clinica diagnosis
- measurement of compartment for unconscious patients
surgical fasciotomy of compartment syndrome should be done within ____ of diagnosis
1 hour
factors that adversely affect fracture healing?
- age
- poor nutrition
- smoking
- drugs
- degree of local trauma
- infection
- inadequate reduction and immobilization
- location of fracture
what is a colles fracture?
distal radius fracture from falling on outstretched wrist
what is a smith fracture?
distal radius fracture from falling on a flexed wrist, supinated forearm
complications of a radial fracture?
- median nerve injury
- misalignment/malunion
- postraumatic osteoarthritis
- tendon rupture - most commonly extensor pollicis longus
- complex regional pain syndrome
how to treat a clavicular fracture of the middle third?
- treat conservatively with broad arm sling
- ORIF for open fractures, skin tenting, neurovascular injury, significant displacement/shortening
how to treat a clavicular fracture in the lateral third of the clavicle?
- Non displaced: sling
- Displaced: ORIF
What is the name of the system used to classify intracapsular femur fractures?
Garden
Garden I fracture?
Incomplete, non displaced fracture of femoral neck
Garden II fracture?
Complete, non displaced fracture of femoral neck
