16 Questions
What is a potential late/delayed complication of fractures?
Complex regional pain syndrome
What is a potential consequence of fat embolism syndrome?
Hypoxia
What is the estimated average blood loss for a femur fracture?
1-2.5 litres
What is a potential complication of open fractures?
Deep vein thrombosis
What is the first step in the primary surgery for open fractures?
Debridement and Washing
What is the most frequent site for compartment syndrome?
Foot
Which clinical sign is a late indication of compartment syndrome?
Pulselessness
What is the definitive treatment for bones in open fractures?
Intramedullary nail
What is the primary surgical timing for open fractures?
Within 6-8 hours from trauma
What is the most appropriate treatment for malunion in the humeral diaphysis?
Corrective osteotomies with internal fixation
What is the diagnostic criteria for Algodystrophy (CRPS)?
Abnormal skin color and temperature
What is the primary cause of ischemic syndrome in compartment syndrome?
Increased compartment pressure
What is the immediate management for high risk of infection in open fractures?
Immediate antibiotic i.v. therapy + early debridement
What is the absolute indication for corrective osteotomies?
Intra-articulars
What is the primary cause of pain in recent immobilization that raises suspicion of CRPS?
Osteopenia on X-ray
What is the initial step in the ER evaluation for open fractures?
Life>Limb>Function
Test your knowledge of the complications of fractures with this quiz created by Dr. Lorenzo di Mento, Head of Trauma Unit at Humanitas Research Hospital in Milan. Learn about early complications such as systemic shock and deep vein thrombosis, as well as late/delayed complications including malunion and non-union. Understand the potential risks and challenges associated with fractures and their treatment.
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