ORTHOPAEDIC DEPARTMENT AL-ORTHOPAEDIC DEPARTMENT AL-BUKAYRIA GENERAL HOSPITALBUKAYRIA GENERAL HOSPITAL

Flat bonesFlat bones

Irregular Irregular BonesBones

People who are activePeople who are active

The elderlyThe elderly

work-relatedwork-related lose in bone lose in bone massmass

It is a break in the bone continuity

CloseClose OpenOpen

DisplacedDisplaced

Non-DisplacedNon-Displaced

SplintingSplinting

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

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

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

MinimizeMinimize muscle muscle spasmsspasms

ReduceReduce, , AlignAlign, and , and immobilizeimmobilize fracturesfractures

ReduceReduce deformity deformity

IncreaseIncrease space between opposing space between opposing surfacessurfaces

MaintainingMaintaining Effective TractionEffective Traction

MaintainingMaintaining PositioningPositioning

PreventingPreventing Skin breakdownSkin breakdown

MonitoringMonitoring Neurological StatusNeurological Status

ProvidingProviding Pin Site CarePin Site Care

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.

Fracture clavicle

Fx. Proximal Humerus

Fx. Shaft of Humerus Higher risk of radial nerve injury.

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).

Fx. Distal Third Forearm

Fx. Of The Hand

Fx. femur

Fx. Around the knee

Fx. Tibia & fibula

Fx. Of the foot

Conclusion

Evaluate Neurovascular Function Distally

Splint all fractures and when in doubt splint

ThanThank youk you