Fractures of the tibia and fibula

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10 Questions

Which mechanism of injury can lead to a transverse or oblique fracture at the same level?

Angulation force

What is the aim of treatment for fractures?

All of these.

What is the conservative treatment for fractures?

Full-length cast and elevation

Which type of fractures are indications for conservative treatment?

Undisplaced and slightly displaced fractures

What are the indications for operative treatment of fractures?

All of the above

What type of fixation is used for closed diaphyseal fractures?

Internal fixation with locking screws

What complication can occur in proximal 1/3 fractures and require vascular repair?

Popliteal artery injury

What is the incidence of tissue breakdown and/or infection for Gustilo type IIIC fractures?

30%

What is a late complication of fractures?

Malunion

What is the late treatment for compartment syndrome in proximal fractures?

Skeletal traction

Study Notes

Mechanism of Injury and Fracture Types

  • A bending or twisting force can lead to a transverse or oblique fracture at the same level.

Aim of Treatment for Fractures

  • The aim of treatment for fractures is to restore anatomical alignment, achieve bony union, and regain full functional capacity.

Conservative Treatment for Fractures

  • Conservative treatment for fractures includes immobilization with a cast or brace, and may include traction or other non-surgical methods.

Indications for Conservative Treatment

  • Non-displaced or minimally displaced fractures are indications for conservative treatment.

Indications for Operative Treatment of Fractures

  • Displaced fractures, open fractures, or fractures with soft tissue injury are indications for operative treatment.

Fixation for Closed Diaphyseal Fractures

  • Intramedullary nailing is a type of fixation used for closed diaphyseal fractures.

Complications of Proximal 1/3 Fractures

  • Axillary artery injury can occur in proximal 1/3 fractures and may require vascular repair.

Incidence of Tissue Breakdown and Infection

  • The incidence of tissue breakdown and/or infection for Gustilo type IIIC fractures is high.

Late Complications of Fractures

  • Osteoarthritis is a late complication of fractures.

Late Treatment for Compartment Syndrome

  • Fasciotomy is the late treatment for compartment syndrome in proximal fractures.

Test your knowledge on the classification and management of open fractures with this informative quiz. Learn about the different mechanisms of injury, Gustilo classification, and the aims of treatment for open fractures.

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