part 8

Question 1

The treatment for a pelvic fracture is based on the severity of the injury. What is the tx for a stable pelvic fracture?

Answer 1

• bed rest
• pelvic sling
• progressive ambulation

Question 2

The treatment for a pelvic fracture is based on the severity of the injury. What is the tx for a complex/displaced (open book) pelvic fracture?

Answer 2

• emergent surgery
• external fixation
• ORIF

Question 3

What is commonly found in a pt with a hop fx?

Answer 3

• common for older adults

- 95% from falls

Question 4

What are the 2 types of hip fractures and what are they associated with?

Answer 4

• Intracapsular: (within joint capsule), associated with osteoporosis and minor trauma
• Extracapsular: (outside joint capsule) caused by severe direct trauma or a fall

Question 5

What are the manifestations and S/S of a hip fracture?

Answer 5

-displaced femoral head causes disruption of blood supply and avascular necrosis
-S/S:
external rotation
muscle spasm
shortening
pain
tenderness

Question 6

• temporary until surgery (24 to 48 H)

- relieves muscle spasm

Answer 6

bucks traction

Question 7

What are the 3 types of surgical repairs of a hip fx?

Answer 7

• repair with internal fixation device (screw)
• partial replacement (replacement of femoral head only)
• total hip replacement (femur and acetabulum)

Question 8

Explain pre-op hip fx surgery.

Answer 8

-current/past med hx
pain management:
-analgesic
-muscle relaxer
-positioning
-traction 
-teaching

Question 9

Explain post-op hip fx surgery.

Answer 9

• VS
• I&O
• respiratory function (TCDB)
• pain control
• S/S of bleeding
• neurovascular assessment
• approved position changes

Question 10

What are some post op rules to prevent dislocation after hip fx surgery?

Answer 10

-activities increase dislocation
>90 degree flexion
-adduction across midline
-internal hip rotation