1. The document discusses the principles and management of open fractures, including classification systems, debridement procedures, external fixation techniques, and rehabilitation.
2. Key points covered include the role of external fixation for temporary stabilization when definitive fixation is not possible, debriding wounds until bleeding tissue is removed, and using imaging and mechanical tests to evaluate bone healing.
3. Complications of open fractures are addressed, along with ways to prevent issues like infection by thorough debridement and fixation. Rehabilitation protocols aim to regain function while protecting the healing bone.
1. The document discusses the principles and management of open fractures, including classification systems, debridement procedures, external fixation techniques, and rehabilitation.
2. Key points covered include the role of external fixation for temporary stabilization when definitive fixation is not possible, debriding wounds until bleeding tissue is removed, and using imaging and mechanical tests to evaluate bone healing.
3. Complications of open fractures are addressed, along with ways to prevent issues like infection by thorough debridement and fixation. Rehabilitation protocols aim to regain function while protecting the healing bone.
1. The document discusses the principles and management of open fractures, including classification systems, debridement procedures, external fixation techniques, and rehabilitation.
2. Key points covered include the role of external fixation for temporary stabilization when definitive fixation is not possible, debriding wounds until bleeding tissue is removed, and using imaging and mechanical tests to evaluate bone healing.
3. Complications of open fractures are addressed, along with ways to prevent issues like infection by thorough debridement and fixation. Rehabilitation protocols aim to regain function while protecting the healing bone.
1. The document discusses the principles and management of open fractures, including classification systems, debridement procedures, external fixation techniques, and rehabilitation.
2. Key points covered include the role of external fixation for temporary stabilization when definitive fixation is not possible, debriding wounds until bleeding tissue is removed, and using imaging and mechanical tests to evaluate bone healing.
3. Complications of open fractures are addressed, along with ways to prevent issues like infection by thorough debridement and fixation. Rehabilitation protocols aim to regain function while protecting the healing bone.
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1. What is the emergency of this case ?
2. Why is this a case of emergency orthopedics?
3. How to manage of emergencies in this case ?
4. what is the function of each open fracture management sequence?
Diwan, A., Eberlin, K. R., & Smith, R. M. (2018). The principles and practice of open fracture care, 2018. Chinese journal of traumatology = Zhonghua chuang shang za zhi, 21(4), 187–192. https://doi.org/10.1016/j.cjtee.2018.01.002 The main role of an external fixator is when the situation is not safe for definitive fixation, the patient not healthy The main role of anenough external fixator or theis surgeon when the situation not is not safe for definitiveexperienced fixation, the patient not healthy enough to enough or the surgeon not experienced enough to provide definitive care provide definitive care 6. Please explain the classification of open fracture that you know and also the treatment completely
(http://www.orthobullets.com/openfracture)
Gustilo classification Oestern classification 7. What is the definition of debridement ?
Manna B, Morrison CA. Wound Debridement. [Updated 2020 Feb 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507882/ 8. Please explain how to do the debridement and what are the signs that this debridement is sufficient or adequate ?
Cross, W. W., 3rd, & Swiontkowski, M. F. (2008). Treatment principles in the management of open fractures. Indian journal of orthopaedics, 42(4), 377–386. https://doi.org/10.4103/0019-5413.43373 10. Please explain how to use External Fixation on the tibia? The advantages and disadvantages of various ways of inserting points from the sczhan screw? How many types of external fixation do you know?
Tejwani, Nirmal MD; Polonet, David MD; Wolinsky, Philip R. MD External Fixation of Tibial Fractures, Journal of the American Academy of Orthopaedic Surgeons: February 2015 - Volume 23 - Issue 2 - p 126- 130 doi: 10.5435/JAAOS-D-14-00158 11. Explain of All component in Lower Leg Compartment
Abraham TR. Acute Compartment Syndrome. Physical Medicine and
Rehabilitation. (2016) Blackman PG, Simmons LR, Crossley KM: Treatment of chronic exertional anterior compartment syndrome with massage: a pilot study. Clin J Sport Med 1998;8:14-7. (Level of Evidence 2b) 12. When the bone will be healing ? Explain about time table perkins and correlation with this case
http://orthobullets.com/bonehealing 13. What are the acceptability criteria in the cruris region to make sure and promote good bone healing?
Morshed S. (2014). Current Options for Determining Fracture Union. Advances in
• Measures of Healing Our current available tools in assessment of fracture healing can be broadly divided into four categories: (1) imaging studies, (2) mechanical assessment, (3) serologic markers and (4) clinical examination. 14. What is the rehabilition program for this case ?
Lind, Charles, MD. Rosenberg Cooley Metcalf Clinic at Park City. Tibial Plateau Fracture Post-Operative Protocol. Retrieved from https://www.rcmclinic.com/patient-info/knee/rehab-instruction/dr-lind/144- tibial-plateau-fracture-post-op 15. Explain all the risk of complication , and how to avoid that ?
Lua, J., Tan, V. H., Sivasubramanian, H., & Kwek, E. (2017). Complications of Open Tibial Fracture Management: Risk Factors and Treatment. Malaysian orthopaedic journal, 11(1), 18– 22. https://doi.org/10.5704/MOJ.1703.006
