Principle Of Compound Fracture Treatment
Reduction this first principle must be qualified by the words if necessary.
Principle of compound fracture treatment. The treatment of compound fracture or open fracture is a complicated process. Tamponade of bleeding at the fracture site. Minor puncture wounds with fractures along the extremity can be treated after just a simple x ray. The initial assessment of compound fractures includes a variable amount of investigations depending on the location and severity of the injury.
The most common cause is trauma followed by diseases e g osteoporosis that result in weakened bone structure the latter results in pathologic fractures which are fractures that would not usually occur if the bone structure was not weakened. Open fractures in which the bone is exposed due to severe soft tissue. This review aims to summarize the basic treatment principles of fractures according to their types and general management principles of special conditions including physeal fractures multiple fractures open fractures and pathologic fractures in children. Retrospective and prospective analyses.
Healing of fracture a fracture begins to heal as soon as the bone is broken provided the conditions are favorable. Reduction in the traction on the surrounding soft tissues in turn reducing swelling. Fracture treatment in the horse follows the same basic guidelines developed for humans1 and small animals 2 3 many techniques can be derived from them but some principles in the treatment of equine long bone fractures are unique 4 5 these differences are discussed in detail with emphasis given to surgical fracture treatment including external coaptation and internal fixation. Excessively swollen soft tissues have higher rates of wound complications and surgery may be delayed to.
Reduce principles of reduction. Indirect or puncture compound fracture wounds result in a much higher percentage of healing per primum than in the direct. Diwan a eberlin kr smith rm. Prevention of infection in the treatment of one thousand and twenty five open fractures of long bones.
Gustilo rb anderson jt. This must be directed first to the patient s general condition shock then to soft parts injury and finally to the fracture. The three fundamental principles of fracture treatment reduction immobil isation and preservation of function are well known and there is still no better way of discussing the treatment of a fracture than under these three headings. Treatment principle in fracture the three fundamental principles of treatment of fracture are reduction immobilization rehabilitation.
For the initial treatment certain investigations are carried out to assess the location and the severity of the injury. The principles and practice of open fracture care 2018. Reduction involves restoring the anatomical alignment of a fracture or dislocation of the deformed limb reduction allows for. A compound fracture is a surgical emergency and demands adequate and early treatment.
This is generally done by using the x ray technique. Healing proceeds through several stages until the bone is consolidated. J bone joint surg am.