Surgery & Casts

Question 1

What are indications for open reduction, internal fixation surgery?

Answer 1

N-nonunion
O-open fracture
C-comprise neurovascular 
A-articulate surfaces displaced
S-salter harris
T- mulTiple fractures

Question 2

Complications with casts?

Answer 2

Compartment syndrome
Heat injury
Ischemia
Pressure sores
Dermatitis
DVT
Neuro injury
Muscle wasting

Question 3

What is compartment syndrome?

Causes

Presentation

Tx

Complications

Answer 3

Increased pressure in close tissue compartment

Causes:

• prolonged immobilization
• ischemia ~ burns, crush injury, reperfusion
• hemorrhaging
• infection

Presentation

• pain out of proportion to injury
• pain wore with passive stretching
• tense tissues ~ wood
• pallor
• pulselessness
• paresthesia
• paralysis

Tx fasciotomy

Complications ~ rhabdo