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.
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TBL 1: Orthopedic Trauma
Husna, Izzati, Ili Safia, Aqilah & Safiyyah
Anatomy of the Leg
PL & B
Superficial Posterior compartment
Deep Posterior compartment
Fracture – Definition, Classification and Patterns
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.
Compression fracture of the spine
Avulsion fracture of the phalanges
Impacted fracture of the femur
Impacted fracture of the tibia
Multiple myeloma of humerus with pathological fracture
Bone cyst resulting in pathological fracture in the neck of femur
Stress fractures of the tibia-fibula
**View video http://video.about.com/orthopedics/Fractures-1.htmfor better understanding.
Principles of Fracture Management
Balanced skin traction
Acute Complications of Fracture
Bleeding, oedema or inflammation
↑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.
Process of Fracture Healing
TISSUE DISTRUCTION AND HEMATOMA FORMATION
How Fracture Heal?
INFLAMMATION AND CELLULAR FORMATION
Fracture Healing Process
Late Complications of Fracture
Non Union Fracture – Definition, Classification and Management
A sign of non-union (pseudoarthorsis)
Take Home Message!