Post-Operative Treatment for Tibial Nailing Procedure
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Questions and Answers

What is the typical duration for most fractures of the femoral shaft to be firmly joined?

  • 16 weeks (correct)
  • 8 weeks
  • 20 weeks
  • 12 weeks

    • Which treatment method is usually used for adult femoral shaft fractures and reduces the risk of muscle wasting and joint stiffness?

  • Functional bracing
  • External fixation
  • Continuous traction
  • Operative treatment with internal fixation (correct)

    • When is the splint removed for a patient with a femoral shaft fracture?

  • After 12 weeks
  • When walking begins
  • Before exercise in bed
  • At sound union stage (correct)

    • Which type of fractures is external fixation mainly applicable to?

    <p>Infected fractures</p> Signup and view all the answers

    What type of brace is typically used in the later stages of treatment for a midshaft fracture of the femur?

    <p>Functional brace with plastic knee hinges</p> Signup and view all the answers

    What is the advantage of external fixation for treating fractures with contamination or infection?

    <p>Provides easy access for wound treatment</p> Signup and view all the answers

    What is the main disadvantage of operative treatment with internal fixation for femoral shaft fractures?

    <p>Increased risk of infection</p> Signup and view all the answers

    What is a recognized error in the radiographic examination of a fracture of the shaft of the femur?

    <p>Neglecting a dislocation of the hip coexisting with the fracture</p> Signup and view all the answers

    What is the recommended method of choice for treating a fracture of the shaft of the femur?

    <p>Intramedullary nailing with interlocking screws</p> Signup and view all the answers

    Which of the following is NOT a principle of conservative treatment for a fracture of the femoral shaft?

    <p>Perform immediate surgical fixation</p> Signup and view all the answers

    What type of fractures are typically seen in the trochanteric region of the femur?

    <p>Trochanteric fractures</p> Signup and view all the answers

    What is a common injury that can occur to the ligaments of the knee?

    <p>Torn ligamentum patellae</p> Signup and view all the answers

    What term is used to describe traumatic accumulations of fluid in the knee joint?

    <p>Traumatic effusions</p> Signup and view all the answers

    Which method has largely replaced sustained weight traction with splintage for treating fractures of the femoral shaft?

    <p>Intramedullary nailing with interlocking screws</p> Signup and view all the answers

    What type of fracture often results from severe violence like road accidents or plane crashes?

    <p>Shaft fracture</p> Signup and view all the answers

    What is the purpose of locking screws in the context of femoral shaft fractures?

    <p>To prevent rotation of the nail for increased stability</p> Signup and view all the answers

    When can a patient with a well-fixed strong nail after femoral shaft fracture surgery begin walking with crutches?

    <p>2 to 3 weeks post-operation</p> Signup and view all the answers

    What is one of the potential complications of femoral shaft fractures mentioned in the text?

    <p>Injury to a major artery or nerve</p> Signup and view all the answers

    What is recommended if a fractured femoral shaft fails to unite and the fracture surfaces become rounded and sclerotic?

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

    What type of exercises are emphasized for preserving muscle tone and preventing deformities after femoral shaft fractures?

    <p>Exercises for the lower leg and foot</p> Signup and view all the answers

    How long is considered a fair average time for union of a fractured femoral shaft in an adult?

    <p>4 months</p> Signup and view all the answers

    What is the purpose of immobilizing the thigh in plaster or a splint post-surgery for femoral shaft fractures?

    <p>To prevent any movement around the fracture site</p> Signup and view all the answers

    What may happen without constant supervision post-operation according to the text?

    <p>Fragments may suffer redisplacement</p> Signup and view all the answers

    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?

    <p>86% compared to 11%</p> Signup and view all the answers

    What is the purpose of knee chondroplasty done in conjunction with debridement?

    <p>To remove frayed and tattered cartilage</p> Signup and view all the answers

    What is the main purpose of osteochondral autograft transplantation?

    <p>To use cartilage from the patient</p> Signup and view all the answers

    When is reconstructive surgery typically performed?

    <p>After arthroscopic surgery</p> Signup and view all the answers

    What are the potential benefits of arthroscopic surgery in knee dislocation cases?

    <p>Determining what damage has been caused</p> Signup and view all the answers

    In knee cartilage replacement, where does osteochondral allograft transplantation source the cartilage from?

    <p>A cadaver</p> Signup and view all the answers

    What does knee debridement typically involve?

    <p>Contouring and removing damaged cartilage</p> Signup and view all the answers

    What can be expected after knee chondroplasty and debridement surgeries?

    <p>Prevent future cartilage degeneration</p> Signup and view all the answers

    What does debridement specifically aim to do in knee surgeries?

    <p>Remove frayed and tattered cartilage</p> Signup and view all the answers

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