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Flashcards in FN: Fracture Management Deck (10):
1

4 R's

Resusitation
Reduction
Restriction
Rehabilitation

2

Open fractures 6 As

1. Analgesia: M and M
2. Asses: NV status, soft tissues, photograph
3. Antisepsis: wound swab, copiuos irrigation, cover with betadine-soaked dressing
4. Alignment: align fracture and splint
5. Anti-tetanus: check status (boaster lasts 10 yrs)
6. Antibiotics: Fluclox 500 mg IV/IM and benpen 600mg IV/M
OR augmentin

3

Classification system of open wounds

Gustillo classification

4

Gustillo 1

Wound <1cm in length

5

Gustillo 2

Wound >1 cm with minimal soft tissue damage

6

Gustillo 3

Extensive soft tissue damameg

7

Most dangerous complication of open fractures

1. Clostridium perfringes
2. Wound infection sna dgas gangrene
3. ± shock and renal failure
4. Management: debride, benpen and clindamycin

8

Reduction methods

Manipulation/closed reduction
Traction
Open reduction (and internal fixation)

9

Restriction methods

Non-rigid - slings/elastic supports

2. Plaster - POP/back slab
3. Functional bracing - joints free to move but bone shafts supportewd in cast segments
Continours traction e.g. collar and cuff

4. Ex fix - pin wires adn external frame

5. Internal fixation - pins, plates, screws and IM nails (increased stability)

10

Rehabilitation

Physio
OT
Social services to aid with home and food

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