Initial Management in Fracture Treatment
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Questions and Answers

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?

    <p>Both A &amp; C</p> Signup and view all the answers

    Which immobilization technique involves fixing the fractures internally?

    <p>Immobilization by internal fixation</p> Signup and view all the answers

    What is the standard method of immobilization for most fractures?

    <p>Plaster of Paris cast</p> Signup and view all the answers

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

    <p>Fiberglass</p> Signup and view all the answers

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

    <p>Dorsiflexion</p> 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?

    <p>Halo-thoracic splint</p> Signup and view all the answers

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

    <p>Pearson knee flexion attachment</p> 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?

    <p>Internal fixation</p> Signup and view all the answers

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

    <p>To secure immobilization and allow early mobility</p> Signup and view all the answers

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

    <p>Unilateral frame with threaded half-pins</p> Signup and view all the answers

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

    <p>Closed fracture impossible to maintain position by splintage alone</p> 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?

    <p>Intramedullary nail</p> Signup and view all the answers

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

    <p>It is unsuitable for fractures near the middle of the shaft</p> Signup and view all the answers

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

    <p>Intramedullary nail</p> Signup and view all the answers

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

    <p>Fractures of the neck of the femur and trochanteric fractures</p> Signup and view all the answers

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

    <p>Fractures of small bones in the hand and foot</p> Signup and view all the answers

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

    <p>Ensuring the airway is clear</p> Signup and view all the answers

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

    <p>To manage shock</p> Signup and view all the answers

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

    <p>To prevent further injury</p> Signup and view all the answers

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

    <p>When conservative methods fail</p> Signup and view all the answers

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

    <p>To maintain oxygenation and ventilation</p> Signup and view all the answers

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

    <p>To clean the wound and remove dead tissue</p> 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?

    <p>Open reduction</p> Signup and view all the answers

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

    <p>Immobilization by internal fixation</p> Signup and view all the answers

    Why is neglect of proper rehabilitation after a fracture dangerous?

    <p>It leads to edema, muscle wasting, and joint stiffness</p> Signup and view all the answers

    Which method does NOT involve reducing fragments under direct vision?

    <p>Clean the wound and remove dead tissue</p> Signup and view all the answers

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

    <p>When the fracture is unstable and unsuitable for other treatments</p> Signup and view all the answers

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

    <p>Continuous Passive Motion (CPM)</p> Signup and view all the answers

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

    <p>When the fracture is unstable and unsuitable for other treatments</p> Signup and view all the answers

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

    <p>To preserve function during fracture healing</p> Signup and view all the answers

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

    <p>Passive treatment</p> Signup and view all the answers

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

    <p>At the beginning of immobilization</p> Signup and view all the answers

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

    <p>Preserving muscle function by static contractions</p> Signup and view all the answers

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

    <p>After the limb is immobilized in a plaster or splint</p> Signup and view all the answers

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