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10 Cards in this Set

  • Front
  • Back
What are 4 stages of fracture healing?
1. inflammation
2. soft callus
3. hard callus
4. remodelling
How many levels of classification are there for open (compound) fractures?
3
An open fracture with wound open for greater than 6 hours is classified as what?
type 3
What are some aspects of clinical description of a fracture?
1. inflammation (heat, redness, pain, swelling)
2. soft tissue (open vs closed)
3. gait disturbance
4. deformity
5. neurovascular
What are some ways a fracture can be life-threatening?
1. hemmorrhagic shock (blood loss)
2. infection: gas gangrene
3. c-spine injury with spinal cord injury
What are open fractures at significantly increased risk of?
infection, nonunion, delayed union
What kinds of xray views do you need for a fracture, at a minimum?
AP and lateral at least
Some aspects of treatment of open fractures
antibiotics 48-72 hrs
tentanus prophylaxis
surgical debridement in OR
operative fixation
wound coverage
What are some early complications of fractures?
compartment syndrome
infection
DVT/PE
neurovascular injury
fat embolism syndrome (ARDS)
What are some late complications of fractures?
post-traumatic arthritis / avascular necrosis
complex regional pain syndrome
delayed union/nonunion/ malunion
residual loss of function (stiffness, weakness..)