Frequently Asked Question

What is the meaning of Fractures ?

Fractures = Brocken bone
Fractures may be classified according to:
Direction [oblique, spiral, transverse, segmental, or comminuted] 
Alignment [displacement of distal fragment, angulation, anticular involvement] 
Location [proximal, middle or distal]
Associate Factors [dislocation, open fractures etc.]
 

OPEN FRACTURES

Broken bone with wound . Open fractures must be handled with extreme
care and clinical skills as contamination and soft tissue disruption
may quickly become serious. The mangment is , thorough debridement
and irrigation , within eight hours of the injury. Otherwise serious
infection may result. Antibiotics [iv] consisting of a first or second
generation cephalosporin and an aminoglycoside should be given for 48 hours.
Appropriate immobilisation and fixation is also necessary. 
 

What is the ORTHOPAEDIC PROCEDURES for a patients ?

Radiography and Other Forms of Imaging Reduction of the fractures
eithr closed ( without surgery ) Or open reduction (by surgery ) 
Immobilisation Procedures by plaster of Paris 
Ensuring Preservation of Function by physiotherapy. 
 

What is ORTHOPAEDIC COMPLICATIONS?

Orthopaedic complications can be a direct result of the injury
[intrinsic] or they can be associate with other organ systems
[intrinsic]. 

These include:

  

Bone Healing Abnormalities - delayed union , - nonunion ,- avascular necrosis

Infection osteomylitis:- 

  

Soft Tissue Injuries This includes direct injuries to nerves,
vessels and soft tissue as well as indirect compromise of these tissues. 
 
Pulmonary Complications   
Bleeding Disorders
G.I. Complications
Reflex Sympathetic Dystrophy
Late Complications
 

What do you mean by INTERNAL FIXATION of the fractures?

Means that the fractures is fixted by implants = fixation devices 
Fixation Devices:-  
Plates and Screws :
- lag screws
- compression plates
- reconstruction plates
Tension Band Wiring 
Intramedullary Fixation 
 

External Fixation :-

  

Special Devices including :

- sliding hip screws
- sliding condylar screws
- cannulated screws
 

A segmental tibial diaphyseal fracture treated by locked intramedullary nailing

A case with bilateral brocken thigh and was treated femoral nail

Child with brocken elbow

Road traffic accedant with open fractures and bone looseand was treated by cleaning the wound and fixation byexternal fixation

Road traffic accedant with open fractures and bone looseand was treated by cleaning the wound and fixation byexternal fixation

foolw up result
 

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