Fracture Management and Fracture Assessment Score (Betance 4) Flashcards Preview

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Flashcards in Fracture Management and Fracture Assessment Score (Betance 4) Deck (15):
1

Fracture healing = race between ____ _____ and _____ failure

fracture healing; implant (failure)

2

State the aims of fracture repair:

-Encourage _____

-Restore ____ to bone and to surrounding ____ ____

-Obtain a ______ acceptable result

-Early return to _____

-Encourage (healing)

-Restore (function) to bone and to surrounding (soft tissue)

-Obtain a (cosmetically) acceptable result

-Early return to (function)

3

State the term based on the definition:

A method of assessing the clinical situation, not only the fractured bone, as an aid to implant selection. Must assess mechanical biological and clinical factors

Fracture assessment score

4

Describe an example mechanical fracture assessment score of 1-2

Non reducible fragments, multiple limb injury, giant breed (caution!!! bad)

5

Describe an example mechanical fracture assessment score of 5-6

Reducible fragment from preexisting clinical disease large dog (mid risk)

6

Describe an example mechanical fracture assessment score of 9-10

Little risk: single limb toy breed compression fracture

7

_____ bone is associated with low scores such as 0-3 (which is really bad high caution)

Cortical

8

_____ bone is associated with high scores such as 8-10 (which is really good low caution)

Cancellous

9

State the associated fracture score in terms of implants:

Lengthening plate or plate ord combination

Type 2 or 3 EF +/- tie in

Interlocking nail

Plate external fixator combination

Low scores 0-3 (bad)

(Long TIP)

10

State the associated fracture score in terms of implants:

Bone plate

Type 1 or 2 EF

EF + IM pin

Interlocking nail

IM pin and cerclage wires

Moderate score 4-7

(B -one -two TIME)

11

State the associated fracture score in terms of implants:

Type 1 ESF

IM pin and cerclage wires

External Coaptation

High scores 8-10 (best case easy to fix)

M-CITE

12

Provide a score:

good client compliance
good patient compliance
stoic
comfort level not considered

High score 8-10

13

Provide a score:

poor client compliance
poor patient compliance
WIMP
High comfort level

Low score 0-3

14

Compare and contrast and give a fracture assessment score

-Reducible
-Predisposing clinical dz
-large breed
-mid to young adult
-minimal invasive approach
-oblique
-tranverse

versus

-compression injury
-juvenile
-excellent health
-good soft tissue
-calcellous bone
-low velocity injury
-closed

versus

-nonreducible
-multi limb injury
-giant breed
-old age
-poor health
-decreased soft tissue
-high velocity injury (HBC)
-extensive approach
-cortical bone

Moderate 4-7
-Reducible
-Predisposing clinical dz
-large breed
-mid to young adult
-minimal invasive approach
-oblique
-tranverse



High score 8-10
-compression injury
-juvenile
-excellent health
-good soft tissue
-calcellous bone
-low velocity injury
-closed





Low score 0-3 BAD
-nonreducible
-multi limb injury
-giant breed
-old age
-poor health
-decreased soft tissue
-high velocity injury (HBC)
-extensive approach
-cortical bone

15

Label the fracture score

-Implant must bridge fracture and assume most if not all of the load, delayed healing is possible or likely

-Less stress and or endurance of implant

-Minimum implant stress because bone shares the load and enhanced healing potential

Low score 0-3
-Implant must bridge fracture and assume most if not all of the load, delayed healing is possible or likely


Moderate score
-4-7-Less stress and or endurance of implant


High score
-8-10-Minimum implant stress because bone shares the load and enhanced healing potential