32 Questions
What is the typical duration for most fractures of the femoral shaft to be firmly joined?
16 weeks
Which treatment method is usually used for adult femoral shaft fractures and reduces the risk of muscle wasting and joint stiffness?
Operative treatment with internal fixation
When is the splint removed for a patient with a femoral shaft fracture?
At sound union stage
Which type of fractures is external fixation mainly applicable to?
Infected fractures
What type of brace is typically used in the later stages of treatment for a midshaft fracture of the femur?
Functional brace with plastic knee hinges
What is the advantage of external fixation for treating fractures with contamination or infection?
Provides easy access for wound treatment
What is the main disadvantage of operative treatment with internal fixation for femoral shaft fractures?
Increased risk of infection
What is a recognized error in the radiographic examination of a fracture of the shaft of the femur?
Neglecting a dislocation of the hip coexisting with the fracture
What is the recommended method of choice for treating a fracture of the shaft of the femur?
Intramedullary nailing with interlocking screws
Which of the following is NOT a principle of conservative treatment for a fracture of the femoral shaft?
Perform immediate surgical fixation
What type of fractures are typically seen in the trochanteric region of the femur?
Trochanteric fractures
What is a common injury that can occur to the ligaments of the knee?
Torn ligamentum patellae
What term is used to describe traumatic accumulations of fluid in the knee joint?
Traumatic effusions
Which method has largely replaced sustained weight traction with splintage for treating fractures of the femoral shaft?
Intramedullary nailing with interlocking screws
What type of fracture often results from severe violence like road accidents or plane crashes?
Shaft fracture
What is the purpose of locking screws in the context of femoral shaft fractures?
To prevent rotation of the nail for increased stability
When can a patient with a well-fixed strong nail after femoral shaft fracture surgery begin walking with crutches?
2 to 3 weeks post-operation
What is one of the potential complications of femoral shaft fractures mentioned in the text?
Injury to a major artery or nerve
What is recommended if a fractured femoral shaft fails to unite and the fracture surfaces become rounded and sclerotic?
Reoperation
What type of exercises are emphasized for preserving muscle tone and preventing deformities after femoral shaft fractures?
Exercises for the lower leg and foot
How long is considered a fair average time for union of a fractured femoral shaft in an adult?
4 months
What is the purpose of immobilizing the thigh in plaster or a splint post-surgery for femoral shaft fractures?
To prevent any movement around the fracture site
What may happen without constant supervision post-operation according to the text?
Fragments may suffer redisplacement
What is the chance of amputation if a vascular obstruction is left untreated for more than eight hours compared to if treated within eight hours?
86% compared to 11%
What is the purpose of knee chondroplasty done in conjunction with debridement?
To remove frayed and tattered cartilage
What is the main purpose of osteochondral autograft transplantation?
To use cartilage from the patient
When is reconstructive surgery typically performed?
After arthroscopic surgery
What are the potential benefits of arthroscopic surgery in knee dislocation cases?
Determining what damage has been caused
In knee cartilage replacement, where does osteochondral allograft transplantation source the cartilage from?
A cadaver
What does knee debridement typically involve?
Contouring and removing damaged cartilage
What can be expected after knee chondroplasty and debridement surgeries?
Prevent future cartilage degeneration
What does debridement specifically aim to do in knee surgeries?
Remove frayed and tattered cartilage
Learn about the post-operative treatment for tibial nailing procedure, including the use of locking screws and avoiding the need for thigh immobilization. Patients can practice exercises for the hip and knee joints for recovery.
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