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 (C)</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 (B)</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 (C)</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 (D)</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 (D)</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 (C)</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 (B)</p> Signup and view all the answers

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

<p>Trochanteric fractures (B)</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 (D)</p> Signup and view all the answers

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

<p>Traumatic effusions (C)</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 (B)</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 (D)</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 (B)</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 (D)</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 (A)</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 (A)</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 (D)</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 (A)</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 (B)</p> Signup and view all the answers

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

<p>Fragments may suffer redisplacement (D)</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% (C)</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 (D)</p> Signup and view all the answers

What is the main purpose of osteochondral autograft transplantation?

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

When is reconstructive surgery typically performed?

<p>After arthroscopic surgery (D)</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 (A)</p> Signup and view all the answers

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

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

What does knee debridement typically involve?

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

What can be expected after knee chondroplasty and debridement surgeries?

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

What does debridement specifically aim to do in knee surgeries?

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

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