PRINCIPLES OF

FRACTURE
MANAGEMENT
OBJECTIVES OF THE TREATMENT
To regain and
maintain the
normal alignment To regain normal
of the injured part. function of the
injured part.

To achieve the
above objectives
for the patient in
the shortest time
possible.
5 P's in assessing fracture
PAIN

PULSE

PALLOR

PARESTHESIA

PARALYSIS
 FRACTURE
MANAGEMENT
STAGES
(5R's)
RESUCITATE REDUCE

• ADVANCED • OPEN REDUCTION

TRAUMA LIFE • CLOSED
SUPPORT
MANIPULATION
• LOOK FOR INJURIES • TRACTION
 Intramedullary
• Intramedullary nail
RETAIN
EXTERNAL FIXATION
• contaminated open wounds,
severe open fractures, severe
associated soft tissue injury.
Extramedullary
INTERNAL FIXATION • Plates and screw
• comminuted or displaced
fractures, intra-articular
fractures, bones not able to be
reduced by other methods,
associated joint incongruity
 CAST
CONSERVATION OF
IMMOBILIZATION
• used for most fractures
without the above properties,
and stabilize fractures
temporarily in case of delay
before reduction/fixation
SUSTAINED TRACTION

SPLINT BRACE
REHABILITATE
PHYSIOTHERAPY

CONSIDER THE
WEIGHT