– Discussion: – closed weight bearing treatment should be used for the majority of low energy tibial fractures; – advantages of open treatment: – allows early weight bearing; – minimizes hospitalization; – infection; – disadvantages … Read more
– See: – Closed Reduction – X-rays for Femoral Neck Fractures – Indications: – w/ failure to obtain a closed reduction persists, esp in younger pt or older child, then open reduction is considered; – Posterior Approach: – in young pt requiring ORIF of a displaced femoral neck frx, consider … Read more
– See: Open Frx Menu: – Discussion: – traumatic wound is nearly always anterior in location, and may have a variable degree of damage to the extensor mechanism; – in pts w/ grades I, II, or IIIa open supracondylar frx consider ORIF – for IIIb and IIIc fractures consider external … Read more
– See: – External fixators for tibia frx – IM nails for tibial frx – Indications for Fixator Exchange (for IM nail): (factors for successful exchange:) – absence of pin tract infections; – short duration of external fixator; – it is unclear whether the … Read more
– Discussion of Open Femur Frx: (see open frx menu) – see: gun shot wounds – rates of wound infection should be < 4 % w/ meticulous debridement of wound; – rates of union and the functional results have been comparable with those obtained after nailing of closed fractures; – compartment … Read more
– Discussion: – see open frx menu, tibia fracture menu and infections of the tibia – Initial Treatment and Timing of Surgery: – preoperative antibiotics; – therapeutic doses of ancef and tobramycin for 3 days are appropriate; – w/ contamination consider … Read more
– See: Gun Shot Wounds Plumbism Open Fractures Septic Joint – Classifaction of Open Joint Injuries: (from Collins and Temple (1992)) – type 2: – single capsular perforation or laceration w/o extensive soft tissue injury – A: w/ minimal step … Read more
– Discussion: – fracture types: open tibia fractures, open fractures of femur – treat all open fractures as an emergency; – perform thorough initial eval to dx other life-threatening injuries: (see trauma management); – open joint injuries – gun shot wounds – controversies: non operative treatment: – Nonoperative … Read more
– Prerequisites: – plate is applied as a tension band in certain short oblique or transverse fractures, eg. the fibula, the metatarsus, the distalu lna and the olecranon; – plate must be placed on the tension side of bone; – plate is contoured to the shape of the bone using … Read more