Fracture Management

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Questions and Answers

What are the three main stages of bone healing in the secondary healing process?

The three main stages of bone healing in the secondary healing process are: haematoma formation, soft callus formation, and hard callus formation.

Define subluxation, dislocation, and fracture in the context of injury terminology.

Subluxation is the incomplete loss of joint congruity, dislocation is the complete loss of joint congruity, and fracture is the loss of continuity in the bone substance.

What are the four main stages of the secondary healing process?

The four main stages of the secondary healing process are: haematoma formation, soft callus formation, hard callus formation, and remodelling.

Explain the difference between primary healing and secondary healing processes in bone repair.

Primary healing involves rigid fixation of the fracture and occurs with anatomic reduction and rigid (usually internal) fixation. Secondary healing involves bone healing without rigid fixation and undergoes an ordered progression of stages. Signup and view all the answers

List the types of fractures mentioned in the text.

The types of fractures mentioned in the text are: transverse, oblique, spiral, comminuted, segmental, butterfly, and compression. Signup and view all the answers

What are the factors that bone healing can withstand in terms of strain for cartilage and bone?

Cartilage can withstand approximately 15% of strain, while bone can only withstand about 2% of strain. Signup and view all the answers

Explain the difference between open and closed fractures.

Open fractures, also known as compound fractures, involve an open wound at the fracture site, while closed fractures, also known as simple fractures, do not break the skin. Signup and view all the answers

What is the classification of fractures based on location and displacement?

Fractures can be classified based on location (e.g. proximal 1/3 shaft distal end) and displacement (displaced vs. undisplaced), as well as whether they are open or closed (simple vs. compound) and intra or extra-articular. Signup and view all the answers

Explain the three fundamental principles of fracture management.

The three fundamental principles of fracture management are reduction, immobilization, and preservation of function. Signup and view all the answers

What are some complications associated with fractures?

Complications associated with fractures include hemorrhage, soft tissue damage, delayed union, non-union, joint stiffness, avascular necrosis, and osteoarthritis. Signup and view all the answers

What factors affect the healing of fractures?

Factors affecting healing include the type of bone, age, mobility at the fracture site, and infection. Signup and view all the answers

What is the goal of physiotherapy management for fractures?

Physiotherapy management of fractures aims to promote restoration of function without interfering with the bone healing process. Signup and view all the answers

What are the general principles for lower limb fracture physiotherapy management?

General principles for lower limb fracture physiotherapy management include considering bone healing timeframes and guiding treatment based on pain, surgical orders, and stability of the fracture. Signup and view all the answers

What are some potential treatments for distal radius fractures?

Distal radius fractures may require plaster of Paris or open reduction and internal fixation (ORIF). Signup and view all the answers

What are the considerations for ankle fracture physiotherapy management?

Physiotherapy management for ankle fractures involves restoring ankle range of motion and gait pattern, with specific considerations for weight-bearing restrictions. Signup and view all the answers

What type of forces can cause ankle fractures?

Ankle fractures can be caused by low-energy forces or direct force. Signup and view all the answers

What types of evidence support physiotherapy in fracture management?

Evidence for physiotherapy in fracture management includes exercises, manual therapy, gait re-education, mechanical stimulation, and biological substitutes to enhance bone healing. Signup and view all the answers

In the case study of a Colles fracture, what are important components of rehabilitation?

In a case study of a Colles fracture, education on increased use in activities of daily living within pain limits, passive immobilization, and functional strengthening are important for rehabilitation. Signup and view all the answers

What is union in the context of fracture healing?

Union is the stage of fracture healing when the injured bone has regained enough strength and stiffness to function without external support. Signup and view all the answers

What are some factors that can affect the time to union in fracture healing?

Time to union varies based on factors such as type/site of fracture, age, and co-morbidities. Signup and view all the answers

Study Notes

Fracture Healing and Physiotherapy Management

Union is the stage of fracture healing when the injured bone has regained enough strength and stiffness to function without external support
Time to union varies based on factors such as type/site of fracture, age, and co-morbidities
Complications associated with fractures include hemorrhage, soft tissue damage, delayed union, non-union, joint stiffness, avascular necrosis, and osteoarthritis
Factors affecting healing include the type of bone, age, mobility at the fracture site, and infection
Three fundamental principles of fracture management are reduction, immobilization, and preservation of function
Physiotherapy management of fractures aims to promote restoration of function without interfering with the bone healing process
Distal radius fractures, common in middle-aged and elderly women, may require plaster of Paris or open reduction and internal fixation (ORIF)
General principles for lower limb fracture physiotherapy management include considering bone healing timeframes and guiding treatment based on pain, surgical orders, and stability of the fracture
Ankle fractures, caused by low-energy forces or direct force, may require plaster of Paris, open reduction and internal fixation, and non-weight bearing for a specific period
Physiotherapy management for ankle fractures involves restoring ankle range of motion and gait pattern, with specific considerations for weight-bearing restrictions
Evidence for physiotherapy in fracture management includes exercises, manual therapy, gait re-education, mechanical stimulation, and biological substitutes to enhance bone healing
In a case study of a Colles fracture, education on increased use in activities of daily living within pain limits, passive immobilization, and functional strengthening are important for rehabilitation.

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Description

Test your knowledge of fracture healing and physiotherapy management with this quiz. Explore topics such as fracture complications, principles of fracture management, and specific considerations for fractures in different parts of the body.