Complications of Internal Fixation in Orthopedic Surgery

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Questions and Answers

Which is the most common cause of chronic osteomyelitis?

  • Poor equipment
  • Implant failure
  • Iatrogenic infection (correct)
  • Excessive stripping of soft tissues

What is one of the indications for using an external fixator?

  • Fractures associated with nerve or vessel damage (correct)
  • Fractures that are easily controlled by other methods
  • Fractures requiring rigid fixation with a gap between the fragments
  • Fractures that do not require open inspection or dressing

What is a common complication of internal fixation due to excessive stripping of the soft tissues?

  • Implant failure
  • Non-union (correct)
  • Chronic osteomyelitis
  • Refracture

In what type of fractures is an external fixator especially applicable?

<p>Severely comminuted and unstable fractures (B)</p> Signup and view all the answers

What is a complication associated with external fixation that requires a high degree of training and skill?

<p>Severe soft-tissue damage (A)</p> Signup and view all the answers

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Study Notes

Chronic Osteomyelitis Causes

  • Most common cause of chronic osteomyelitis is the presence of bacteria, often following an open fracture or surgical procedure.

External Fixator Indications

  • An external fixator is indicated for stabilizing fractures that require distraction or correction of limb length and alignment.

Complications of Internal Fixation

  • A common complication of internal fixation due to excessive stripping of soft tissues is impaired blood supply, leading to delayed healing or non-union of the fracture.

Applicability of External Fixators

  • External fixators are especially applicable in complex fractures of the limbs, such as those with significant soft tissue damage or when conventional fixation methods are inadequate.

Training for External Fixation Complications

  • Complications associated with external fixation, such as pin tract infections or malalignment, necessitate a high degree of training and skill for proper management and prevention.

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