TBL 1: Orthopedic Trauma. Husna, Izzati, Ili Safia, Aqilah & Safiyyah. TBL Trigger. A 24 year old man was involved in a road traffic accident. He was a pedestrian when a motorcycle knocked him down when he was crossing the road.
Husna, Izzati, Ili Safia, Aqilah & Safiyyah
PL & B
A break in the structural continuity of bone.
- Apley’s System of Orthopedics & Fractures, 8th Edition
Fracture of tibia-fibula with soft-tissue injury
**View video http://video.about.com/orthopedics/Fractures-2.htm for better understanding.
Impacted fracture of the femur
Impacted fracture of the tibia
Bone cyst resulting in pathological fracture in the neck of femur
**View video http://video.about.com/orthopedics/Fractures-1.htmfor better understanding.
Balanced skin traction
↑Tissue pressures in a compartment
Damage to the structures coursing through that compartment (nerves & muscles)
Prolonged muscle hypoxia
Necrosis and permanent posttraumatic muscle contracture (Volkmann\'s ischemia)
12 hours or less
VICIOUS CYCLE OF VOLKMANN’S ISCHAEMIA
Aspirate blood first.
How Fracture Heal?
INFLAMMATION AND CELLULAR FORMATION
A sign of non-union (pseudoarthorsis)