Fractures Punya Bedah

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    A break in thecontinuity of the

    bone, caused by theinability to withstand

    the excessive stressplaced on it.

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    Simple (closed) fractures

    In which there is nowound connecting thefracture site to the openair.

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    Compound (open)fractures

    In which there is a wound

    connecting the fracturesite with the air.

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    shape/style of the fracture

    type of #

    either stable or unstable

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    Infection Osteomyelitis Damae to nerves and blood vessels

    !al union Delayed union "on union

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    at embolism $ompartmental syndrome

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    %he fracture must be re&alined 'reduced(%he fracture must be immobilised%he immobility must be maintained until #

    has united%he client must be rehabilitated

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    )andae *lin *plint

    +laster of +aris '+O+(%raction

    Skeletal

    Skin

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    Open eduction and Internal ixation 'OI( Intramedullary nailin

    +lates and/or screws

    +ins

    -ires xternal ixator devices

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    $lavicle weeks "eck of humerus weeks *haft of humerus 01 weeks

    adius and ulna 01 weeks adius or ulna weeks 2and &03 weeks iner 4 weeks

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    2ip 01 weeks 5pper le 0&06 weeks%ibia

    plateau 7 weeks shaft 0&16 weeks

    ankle 7&01 week

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    ibula 7 weeks $alcaneus 7&01 weeks oot 7 weeks

    %oe 4 weeks

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    8ocation ood blood supply minimal soft tissue damae

    ood reduction immobili9ation of the bone ends weiht bearin on lon bones

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    -ide separation of ends of framents distraction of framents by traction severe comminution

    severe soft tissue damae bone loss inade:uate immobilisation of bone ends infection

    impaired blood supply location

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    And now some

    x&rays andpictures;

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    $olles fracture treated with OI

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    racture dislocation of ankle

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    OI distal and proximal #s of femur

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    $omminuted # of femur with displacementand

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    # of the distal femur with OI

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    # of the mid shaft of femur in a %homas splint

    -hich leuries are

    +AI"58