Initial Management in Fracture Treatment

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In initial management of fractures, what is the technique used to adjust the fragments as nearly as possible to their correct position?

Immobilization by internal fixation
Operative reduction
Grasping the fragments through soft tissues (correct)
Mechanical traction

When large muscle contraction causes a strong displacing force in fractures, what mechanical aid may be necessary to draw the fragments out to the normal length of the bone?

Operative reduction
Immobilization by internal fixation
Immobilization by external fixation
Reduction by mechanical traction (correct)

In cases where conservative methods fail to obtain or maintain an acceptable reduction, what method involves reducing the fragments under direct vision at open operation?

Operative reduction (correct)
Immobilization by external fixation
Reduction by mechanical traction
Traction by weights

When is open reduction particularly required in fracture treatment?

Both A & C (D) Signup and view all the answers

Which immobilization technique involves fixing the fractures internally?

Immobilization by internal fixation (D) Signup and view all the answers

What is the standard method of immobilization for most fractures?

Plaster of Paris cast (D) Signup and view all the answers

What material is used in synthetic (plastic) splinting that requires fewer layers compared to plaster?

Fiberglass (A) Signup and view all the answers

In what position is the hand placed during immobilization using a plaster or splint?

Dorsiflexion (B) Signup and view all the answers

For an unstable fracture of the cervical spine, what type of splint may be used apart from plaster of Paris?

Halo-thoracic splint (D) Signup and view all the answers

For continuous skeletal traction using a Thomas's splint, which attachment is commonly used for knee flexion?

Pearson knee flexion attachment (B) Signup and view all the answers

In the management of certain closed fractures of the long bones, external fixation is gaining support as an alternative to which method?

Internal fixation (D) Signup and view all the answers

When would internal fixation typically be advised as a method of choice for a fracture?

To secure immobilization and allow early mobility (C) Signup and view all the answers

What is the specialized configuration of external fixation that is mentioned in the text?

Unilateral frame with threaded half-pins (C) Signup and view all the answers

For which scenario would it be necessary to operate upon a fracture to secure adequate reduction?

Closed fracture impossible to maintain position by splintage alone (B) Signup and view all the answers

Which method of internal fixation is most suitable for fractures near the middle of the shaft of long bones?

Intramedullary nail (C) Signup and view all the answers

What is the main disadvantage of fixation using ordinary plates for long bones?

It is unsuitable for fractures near the middle of the shaft (B) Signup and view all the answers

Which technique of internal fixation is commonly used for fractures of the femur and tibia?

Intramedullary nail (B) Signup and view all the answers

What type of fractures are compression screw-plates (dynamic hip screw) commonly used for?

Fractures of the neck of the femur and trochanteric fractures (B) Signup and view all the answers

Which type of fractures are Kirschner wires most useful for fixing?

Fractures of small bones in the hand and foot (B) Signup and view all the answers

What is the first step in the initial management of a fracture according to Prof Dr. Anwar Ebid?

Ensuring the airway is clear (A) Signup and view all the answers

Why is resuscitation necessary for patients with severe fractures according to the text?

To manage shock (C) Signup and view all the answers

In fracture treatment, what is the purpose of immobilizing a fractured limb?

To prevent further injury (C) Signup and view all the answers

When is internal fixation used as a method of immobilization for fractures?

When conservative methods fail (C) Signup and view all the answers

What is the clinical rationale behind ensuring that the airway is clear in the initial management of fractures?

To maintain oxygenation and ventilation (A) Signup and view all the answers

What is the main objective of initial management of open fractures?

To clean the wound and remove dead tissue (B) Signup and view all the answers

In cases where conservative methods fail, what method allows for reducing the fragments under direct vision at an open operation?

Open reduction (A) Signup and view all the answers

What technique involves fixing fractures internally using pins, plates, or screws?

Immobilization by internal fixation (C) Signup and view all the answers

Why is neglect of proper rehabilitation after a fracture dangerous?

It leads to edema, muscle wasting, and joint stiffness (D) Signup and view all the answers

Which method does NOT involve reducing fragments under direct vision?

Clean the wound and remove dead tissue (A) Signup and view all the answers

When is external fixation by pins often chosen over internal fixation?

When the fracture is unstable and unsuitable for other treatments (A) Signup and view all the answers

What method involves providing continuous To-and-Fro movement at a joint without patient effort?

Continuous Passive Motion (CPM) (C) Signup and view all the answers

Why is external fixation by pins preferred over internal fixation in some cases?

When the fracture is unstable and unsuitable for other treatments (D) Signup and view all the answers

What is the primary purpose of rehabilitation according to the text?

To preserve function during fracture healing (D) Signup and view all the answers

Which of the following is NOT mentioned as an essential method of rehabilitation?

Passive treatment (B) Signup and view all the answers

When should exercises for muscles and joints be encouraged according to the text?

At the beginning of immobilization (C) Signup and view all the answers

What should exercises focus on when a limb is immobilized in a plaster or splint?

Preserving muscle function by static contractions (C) Signup and view all the answers

When are exercises directed to mobilizing the joints and building up muscle power recommended according to the text?

After the limb is immobilized in a plaster or splint (C) Signup and view all the answers

Fracture Reduction Technique

Adjusting broken bone fragments to their correct positions.

Mechanical Traction

Using mechanical force to pull apart fractured bone fragments.