fracture management
TRANSCRIPT
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ORTHOPAEDIC DEPARTMENT AL-ORTHOPAEDIC DEPARTMENT AL-BUKAYRIA GENERAL HOSPITALBUKAYRIA GENERAL HOSPITAL
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Flat bonesFlat bones
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Irregular Irregular BonesBones
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People who are activePeople who are active
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The elderlyThe elderly
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work-relatedwork-related lose in bone lose in bone massmass
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It is a break in the bone continuity
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CloseClose OpenOpen
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DisplacedDisplaced
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Non-DisplacedNon-Displaced
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SplintingSplinting
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How to treat a fracture
•Principles of Fracture Management–Splint joint above, below
–Splint bone ends–Loosely cover open fracture sites
–Neurovascular assessment•before and after splinting
–Gentle in-line traction of long bone •maintain normal alignment if possible
•reduction of angulated fracture site
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Fracture Management Key Points
With few exceptions orthopedic injuries are not life threatening.
Do not let drama of grossly deformed fracture distract you from more serious problems involving ABC’s.
The problem is not the damage to the bone. The problem is the damage the bone does to the surrounding soft tissues.
Evaluate Neurovascular Function Distally
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is the application of a is the application of a pulling force to a pulling force to a part of the bodypart of the body
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MinimizeMinimize muscle muscle spasmsspasms
ReduceReduce, , AlignAlign, and , and immobilizeimmobilize fracturesfractures
ReduceReduce deformity deformity
IncreaseIncrease space between opposing space between opposing surfacessurfaces
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MaintainingMaintaining Effective TractionEffective Traction
MaintainingMaintaining PositioningPositioning
PreventingPreventing Skin breakdownSkin breakdown
MonitoringMonitoring Neurological StatusNeurological Status
ProvidingProviding Pin Site CarePin Site Care
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Early Management•Principles:
• Splint joint above and below.• Loosely cover open fracture sites.
• Neurovascular assessment (before and after).
• Gentle in-line traction of long bone:• maintain normal alignment if possible.
• reduction of angulated fracture site.
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Fracture clavicle
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Fx. Proximal Humerus
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Fx. Shaft of Humerus Higher risk of radial nerve injury.
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Fx. Supracondylar HumerusAbsolute Emergency.Mostly treated by closed reduction and percutaneous K-wire fixation.
Complications include:Complications include:
Volkmann's Ischemic contracture.
Mal-union (cubitus varus).
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Fx. Distal Third Forearm
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Fx. Of The Hand
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Fx. femur
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Fx. Around the knee
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Fx. Tibia & fibula
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Fx. Of the foot
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Conclusion
Evaluate Neurovascular Function Distally
Splint all fractures and when in doubt splint
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ThanThank youk you