FRACTURE

BY:DR.SANDIP SHARMA
Fracture types:

 On the basis of etiology

Traumtic
pathological
 On the basis of displacement

 Undisplaced
 displaced

On the basis of relation with external environment

 Closed
 open
Fracture Management

PHASE I: EMERGENCY CARE

PHASE II: DEFINITIVE CARE
PHASE III: REHABILITATION
PHASE I: EMERGENCY CARE
 PHASE II: DEFINITIVE CARE

1.REDUCTION a)Internal b) External

2.IMMOBILIZATION a)operative b)Non operative
Rod splint
Nails straping
Wire sling
Functional Bracing
cast

3.PRESERVATION OF FUNCTIONS
STRAPING

ARM SLING
PHASE III: REHABILITATION

JOINT MOBILISATION
FUNCTIONAL USE OF LIMBS
 SPINAL INJURY

#Assess the type, extent and severity of the injury.

#Careful first aid to prevent further damage to the spinal cord.
#Assess the sensory loss or motor loss properly.
# X-ray, CT scan (for fracture) and MRI (for spinal cord injuries).
#High dose of steroid is very useful to prevent further damage.
#Rest, traction to neck.
#Decompression of spinal canal surgically by removing bone, disc,
haematoma is useful.
#Spinal stabilisation.