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PRIMARY SURVEY
SECONDARY SURVEY
Fracture Management: Principles
Principles
REDUCTION-if necessary
1. Manipulation
2.Mechanical traction
3. Open operation
Indications for OPEN OPERATION
1. Closed reduction fails
2. Large articular fragments
3. Avulsion fractures
4. Operation needs assoc. injuries
5. Requires internal fixation to hold it anyways
FRACTURES HURT: ARRR!
DONE BY: SABAHAT IQBAL, MEDICAL STUDENT
GENERAL HEALING TIME FOR ADULTS
#Children: Halved respectively
METHODS
1. Active use
2. Active Exercise
3. Coordinate with physiotherapy
-Begin as soon as fracture has had definitive treatment
-Two step process
1. Preserve function as much as possible while fracture
is uniting
2. To restore function to normal once fracture has united
-Encourage pts. to help themselves
-TRACTION BY GRAVITY
-BALANCED TRACTION
-FIXED TRACTION
]
R
A
R
Restriction
Treat the patient according to ATLS Guidelines
REHABILITATION