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Flashcards in Regional fractures Deck (23):
1

How does a femoral shaft fracture occur?

high energy or pathalogical

2

what is associated with a femoral shaft fracture?

approx 1L blood loss. assoc with other injuries

3

what are the risks of femoral shaft fractures

ARDs fat embolism

4

What is the treatment for a femoral shaft fracture

resuscitation, analgesia. thomas splint. is unstable then IM nailing

5

how are unstable distal femur fractures treated

thomas splint may be used

6

how are intra articular femur fractures treated

anatomical reduction. rigid fixation. plates and screws

7

how are extra articular femur fractures treated

not too distal IM nails
distal plates and screws

8

what causes proximal tibial fractures

high energy in the young. low energy in the old

9

what can a high energy prox tibial fracture mean

may have soft tissue sweeping - so may need temp spanning ex fix

10

what investigations can be done for a proximal tibial fracture and what risks are there for this fracture

CT scan
post traumatic arthritis

11

what is the treatment for proximal tibial fractures

reduce. rigid fixation. elevation depressed articular fragments. bone graft

12

what is a key feature in tibial shaft fractures

internal rotation poorly tolerated

13

different between union and non union in tibial shaft fractures

16 wks is union
over a year is non-union

14

what do tibial shaft fractures have a high risk of

compartment syndrome

15

what is the treatment of tibial shaft fractures

conservative - plaster
operative - IM nailing, plating. ex fix

16

what is a pilon fracture

a intra articular distal tibial fracture

17

how are pilon fractures caused and how do they present

high energy. substantial soft tissue damage

18

what investigations can be done for distal tibial fractures

CT

19

what is the treatment for distal tibial fractures

surgical emergency - urgent bridging ex fix. allow soft tissues to settle. +/- limited internal fix
internal fixation once soft tissues settle

20

how is a isolated distal fibular fracture/minimally displaced medial malleolus treated

they are stable so conservatively

21

which fracture can occur with a deltoid ligament rupture and what does this lead to

distal fibular fracture leads to talar shift

22

bimalleolar fractures are what

unstable and they lead to a talar shift

23

what is the treatment for 1mm talar shift

causes increased joint force -> open reduction internal fixation