Pre-Op Appendicular (Betance 5) Pics added need to input answers Flashcards Preview

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Flashcards in Pre-Op Appendicular (Betance 5) Pics added need to input answers Deck (26):
1

Classify the fracture, state score, tx and reasoning behind this

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  • Salter-Harris Type II Fracture
  • Fracture assessment score: 7-10
  • patient is young.
  • Tx
    • Place diverging pins that will resist rotation at the point of the fracture site.
    • Growth physis will continue to grow despite having pins going through it.

2

Classify the fracture, assign a score, and tx and reasoning

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  • Medial maleolar fracture
  • if this causes an instability, must repair because there are distractive forces associated with flexors pulling on maleolus.
  • TX
    • Would use a tension band or a lag screw.
    • Would treat a lateral maleolar fraction in the same way.

3

Classify the fracture, assign score, and TX

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  • Communited diaphyseal fracture.
  • Short oblique. Non-articular.
  • Fracture assessment score is 7-9.
  • TX
    • Type 1a external fixator on the lateral humerus.
    • Bone plate.
    • OR Interlocking nail.

 

4

CLASSIFY THE FRACTURE, STATE SCORE, AND TX AND WHY?

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  • Because this dog has multiple limb injuries, it decreases the fracture assessment score (now 4-7).
  • TX
    • Would reduce this luxation, but then need to place leg in an Ehmer sling so the other leg will need to bear significant weight.
    • Placed an intermedullary pin and a type 1a external fixator to repair the front left leg.

5

Classify the fracture, state score, TX and why?

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  • Transverse, mid diaphysial fracture in a large dog.
  • Fracture assessment score is based on size of patient: 5-7.
  • TX
    • Plate
    • interlocking nail because of size of patient
    • Watch out for the radial nerve!

6

you know the drill state whatcha know

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  • Olecranon fracture
    • distractive forces from the triceps.
  • Fraction assessment score  5-7.
    • (multiple limb fracture so score goes down)
  • TX
    • Would use tension band to repair this fracture.

7

You know the drill

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  • Fracture assessment score is pretty high because young patient, and simple fracture.
  • TX
    • Repair with a tension band.

8

You know the drill

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  • Salter Harris II of distal femur.
  • Fracture assessment score is high.
  • TX
    • use cross pins or rush pins in patients that are older (8-9 months of age) and almost have closed growth plates.
    • Need to worry about quadriceps contracture with this fracture.
    • Make sure to do rehab therapy with these dogs and do not cast or splint this leg.
    • Also can use a single IM pin with a single cross pin if you don't want as much stability as the cross pin gives.

9

You know the drill

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  • Femur: mid diaphysial, comminuted fracture (3 segments)
    • TX
      • -repair with IM pin+ external fixator
  • Tibia: Comminuted, mid diaphysial fracture short oblique
    • TX
      • -repair with type 1 or 2 external fixator
  • Fracture assessment score: 4-6

10

you know the drill, also state the 3 As for why we have to monitor this patient closely

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  • Spiral fracture.
  • Fracture assessment score (patient is old): LOW.
  • TX
    • Need to provide ultimate stability.
    • In repair of this fracture, used calcaneus and spanned the joint because there was not much bone in the distal fracture segment to place any pins for fixation.
    • Placed a type II external fixator.
  •  
  • Need to monitor this patient closely.
    • 3 A's of fracture assessment:
      • 1. Alignment: are fracture fragments in same position as in immediate postoperative radiograph?
      • 2. Apparatus: is the apparatus stable?
      • 3. Activity: does the fracture site show progression in healing?

11

you know the drill

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  • Avulsion fracture of the tibial tuberosity
    • distraction forces from the patellar tendon.
    • Fracture assessment score: high.
  • TX
    • Can repair with tension band.

12

You know the drill

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  • Salter Harris type I of the femoral head.
  • Fracture assessment score: high.
  • TX
    • Would repair with diverging pins, but do not allow the pins to go into the joint.

13

You know the drill

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  • Green stick fracture.
  • Fracture assessment score= 12.
  • TX
    • Can splint this, but don't really have to.
    • The fracture should heal, but the patient still has growth potential.
    • Any time there is trauma in the radius and ulna diaphysial area, worry about injury to the physis.

14

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15

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16

Classify the fracture and assign a score:

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  • Long oblique
  • Simple femur fracture
  • High fracture score: 9-10

17

Classify the fracture and assign a score:

Can you use full cerclage wire for this fracture?

Treatment?

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  • Short Oblique
  • Fracture score: 8-9
  • Can't use full cerclage wire for short oblique
  • TX:
    • ESF Type 1a or B
    • Plate
    • Interlocking nail

18

Classify the fracture and assign a score:

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  • Short Oblique of proximal diaphysis of tibia and fibula
  • Fracture score: 9-10
  • Treatment: 
    • ESF
    • IM pin normograde
    • cerclage
    • lag screw
    • bone plate?
    • External coaptation

19

Classify the fracture and assign a score:

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  • Comminuted fracture
  • FX score: 3-4
  • Tx
    • NO IM PIN or CERCLAGE wire

20

Classify the fracture and assign a score:

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  • Distal humerus (diaphyseal comminuted)
  • Fracture Score 2-3
  • Treatment:
    • Bone plate with rod
    • ESF

21

Classify the fracture and assign a score:

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  • Transverse radius and ulna distal piaphysis
  • FX score: 4-5
  • Treatment: ?

22

What is the treatment?

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bone plate

23

Classify the fracture and assign a score:

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  • Ulnar fracture
  • Luxation of prximal radius
  • Monteggia fx

24

Classify the fracture and assign a score:

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  • Salter harris IV
  • Lateral Condylar fx
  • Score 5-7
  • Treatment
    • Lag screw

25

Classify the fracture and assign a score:

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  • T or Y bicondylar fracture
  • Score: 3-5
  • Tx:
    • Bone plate xz

26

Classify the fracture and assign a score:

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  • Transverse Radius and Ulna fracture
  • Score: 6-8
  • Tx:
    • External coaptation
    • need more support
    • bone plate