Principles Of Fractures(2). DR. FAWZI ALJASSIR, MD, MSc , FRCSC Associate Professor Chairman, Department of Orthopedics Director, Orthopedic Surgery Research Chair Medical Director, Rehabilitation Department. Introduction. Fractures in children. Pathological fractures.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
DR. FAWZI ALJASSIR, MD, MSc, FRCSC
Chairman, Department of Orthopedics
Director, Orthopedic Surgery Research Chair
Medical Director, Rehabilitation Department
1. stabilize any reduction,
2. decreases the amount of displacement, and
3. lower incidence of open fractures in children than in adults.
Fractures Caused by Child Abuse
1- congenital diseases (O.I).
2- Infection (osteomyelitis).
3- Fracture through a cyst .
4- Metabolic diseases ( Osteoporosis, Osteomalacia, Pagets disease).
5- Primary bone tumours.
6- Metastatic bone tumours.
1- insignificant amount of trauma.
2- constitutional symptoms.
3- history of malignancy.
A / General S/S of malignancy or infection.
B / Local :
1- tenderness, pain, swelling.
2- muscle spasm and deformity is minimal.
1- X-rays of the lesion , MRI, CT-scan.
2- X-ray / CT-chest ( pulmonary Mets.)
3- Bone Scan.
1- CBC & dif., ESR, CRP.
2- Acid phosphatase P, B J P,
3- LDH, ec..
1- involvement of the cortex.
2- increased pain.
3- pure lysis.
4- weight bearing area.
GENERAL AIM :
To Save the Life of Patient
LOCALAIM :Rapid Recovery
* Of Injured Part
* Of Its Function
GENERAL management :
LIFE THREATENING Inj.
Shock , Head, Chest, Abdomen
LOCAL management Dangers to viability :
4) FUNCTIONAL ACTIVITY & REHABILITATION
I- Reduction – Methods:
* Reverse mechanism of Inj
* Direct pressure
I- Reduction - Standards
* Intra-articular fractures
* Fractures Both bones Forearm
Reduction Standards cont…
* Alignment will NOT affect Function
* Remolding CAN correct deformity
I- Reduction - Timing
* Vascular Inj
* Spinal Cord or Nerve Inj
“Life is Movement, and
Movement is Life”
Do NOT Immobilize Any Joint Unnecessarily
II- Immobilization –Methods
Non Union Causes:-
X-Ray After 10 Days.
“Not myo! or itis! “
elevation of the interstitial pressure in a closed osseofascial compartment that results in microvascular compromise.