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General
Early
Local
Late
Occur in
Large bulk of muscle crushed Tourniquet left for too long period
What happened?
1st theory =Compression releasedacid myohaematin enter the circulationkidneyblocks the tubulesSHOCK 2nd theory= Renal artey SPASManoxic tubule cells necroseSHOCK
Treatment=
amputation
Tetanus organism live only in dead tissueexotoxin blood & lymph to CNS anterior horn cell
Sign develop Tonic clonic contraction Jaw and face (trismus ) Neck and trunk Diaphragm and Intercostal muscle spasmASPHYXIA
By clostridial infection (esp C.welchii) Anaerobic with low oxygen tension Produce toxinsdestroy cell walltissue necrosis Spreading Treatment Deep penetrating wound should be EXPLORED ALL dead tissue completely EXCISED Doubt about tissue viabilityleft it OPEN
Local Visceral Injury Vascular Injury Nerve Injury Injury of tendon and joint Infection
Fracture around the trunk are often Cx by injury to the adjacent viscera : Etc: Pelvic fracture Etc : Rib fracture lungs
Pneumothorax
direct trauma or due to uncontrolled movements of the fracture fragment during struggling of the animal before fixation of the fracture. Cold extremities distal to the site of injury and excessive bleeding from the injured site.
Treatment Ligation of the involved vessel and proper reduction and rigid fixation of the fracture. prognosis good = surrounding soft tissue is intact. Poor= surrounding soft tissue is severely damaged and signs of ischemia in the involved extremity have become apparent(amputation).
Cause due to direct trauma uncontrolled movements of the fractured ends Radial, obturator, suprascapular and peroneal nerves are more prone to injury. Simple contusion with temporary loss of nerve function complete severing of the nerve and paralysis of involved part.
Treatment Early and effective fixation of fracture should be provided. Prognosis partial nerve damage is good and most cases recover spontaneously in few weeks following fracture treatment and good nursing, In case of complete damage of the nerve, the prognosis is guarded particularly if the animal is recumbent.
occur in fractures involving articular surface or when associated with joint dislocation. Abnormalities in articulations and roughening of the articular surfaces may lead to abnormal wear and arthritic changes. The affected part should be rigidly immobilized to prevent further damage.
Causes:
Open fracture (common) Use of operative method in the Tx of #
Wound becomes inflamed and starts draining seropurulent fluid. Infection may be superficial, moderate (osteomyelitis), severe (gas gangrene). Post-traumatic wound infx is most common cause of chronic osteomyelitis union will be slow and chance of refracturing.
Treatment: Antibiotic Excising all devitalised tissue If Sign of acute infx and pus formation : tissue around the fracture should be opened & drained
Failure of implant Delayed union Non-union Malunion Joint stiffness Avascular necrosis Shortening of bone
Occur more frequently in heavy adult cattle and buffaloes. The complications include excessive wear and tear of plaster cast, bending of splints and bending and loosening of plates, screws and intramedullary pins. The disparity in the size of large ruminants and the currently available internal fixation devices is the major cause of the implant failure.
Selection of devices of appropriate size and strength, their proper fixation and additional external support can reduce the incidence of implant failures to a great extent
Clinical features
Fracture tenderness
X-Ray
periosteal reaction
Infection
Excessive traction
Treatment
Conservative
Operative
- Indication : Union is delayed > 6 mths No signs of callus formation - Internal fixation & bone grafting
Condition when the fracture will never unite without intervention Healing has stopped. Fracture gap is filled by fibrous tissue (pseudoarthrosis) Causes
Improper Treatment of delayed union Too large a gap Interposition of periosteum, muscle or cartilage between the fragments
Clinical features
X-Ray
Fracture is clearly visible Fracture ends are rounded, smooth and sclerotic Atrophic non-union : - Bone looks inactive
rounded)
- Relatively avascular Hypertrophic non-union : - Excessive bone formation ` - on the side of the gap - Unable to bridge the gap
Hypertrophic non-union
Atrophic non-union
Treatment
Atrophic non-union
Condition when the fragments join in an unsatisfactory position (unaccepted angulation, rotation or shortening) Causes
Failure to reduce a fracture adequately Failure to hold reduction while healing proceeds Gradual collapse of comminuted or osteoporotic bone. injury to the epiphyseal area in young animals
Clinical features
Treatment
Common complication of fracture Tx following immobilization Common site : knee, elbow, shoulder, small joints of the hand Causes
Oedema & fibrosis of the capsule, ligaments, muscle around the joint Adhesion of the soft tissue to each other or to the underlying bone (intra & peri-articular adhesions) Synovial adhesions d/t haemarthrosis
Treatment
Prevention :
- Prolonged physiotherapy - Intra-articular adhesions Gentle manipulation under anaesthesia followed by continuous passive motion - Adherent or contracted tissues Released by operation
Clinical features Joint pain, stiffness, swelling X-Ray The adjoining normal bone, however, shows the signs of demineralization due to hyperaemia. The adjacent normal bone appears to be mottled while the avascular bone retains its original appearance. However, gradually the avascular bone loses its original appearance and ultimately collapses into an irregular mass end result will be non-union, and osteoarthritis
Treatment early and rigid fixation can prevent avascular necrosis. If extensive soft tissue damage, excision of avascular fragments is indicated. Excision arthroplasty can minimize the changes and disorganization of the adjacent joint surfaces and maintains the functional activity by formation of false joint in cases of fractures of the femoral head and neck
Cause Loss of bone following comminuted and multiple fracture Overriding of fracture fragment Injury to epiphyseal plate Treatment Prevented by using proper reduction and fixation techniques In bone loss use of bone graft