Treatment & rehabilitation of fractures
Treatment & rehabilitation of fracturesBimo KusumoFakultas
Kedokteran Universitas Kristen IndonesiaNim : 1061050174
Standar Kompetensi Dokter IndonesiaPathological Fracture 2
Indonesian Medical Council, Jakarta 2006
Preface : Bone HealingEvents in fracture healing are responsible
for debridement, stabilization, and, ultimately, remodelling of the
fracture site.
Hoppenfeld S, Murthy VL. Treatment & Rehabilitation of
Fractures. Lippincott Williams & Walkins. 2000
Open fractures Gustilo ClassificationRuedi TP, Buckley RE, Moran
CG. AO Principles of Fracture Management. Thieme. 2007
Open fractures treatmentProfilactic antibioticsDebridement &
FasciotomyStabilization (internal fixation & external
fixation)
Hoppenfeld S, Murthy VL. Treatment & Rehabilitation of
Fractures. Lippincott Williams & Walkins. 2000
debridementOpen fractures require a timely and thorough
exploration, debridement of foreign material and necrotic tissue,
and irrigation to minimize the chance of acute infection, gas
gangrene, and osteomyelitisMost open fractures above grade I should
have a second irrigation and debridement 24 to 72 h after initial
debridement to allow removal tissue that has become necrotic in the
days following the injury
Elstrom JA, Virkus WW, Pankovich AM. Handbook of Fracture. The
McGraw Hill Companies. 2006
fasciotomy
fasciotomy
Methods of fixationFracture healing requires stability at the
fracture site. Stability can be obtained with both operative and
non-operative methodsThere are two general methods of operative
fracture fixation. Internal fixation and external fixation
Elstrom JA, Virkus WW, Pankovich AM. Handbook of Fracture. The
McGraw Hill Companies. 2006
External fixation
Internal fixationInternal fixation (lag screw technique)
DC (Dynamic Compression) plate
OTHER TREATMENTwalker
Plaster of paris (GIPS)
traction
ReferenceElstrom JA, Virkus WW, Pankovich AM. Handbook of
Fracture. The McGraw Hill Companies. 2006Hoppenfeld S, Murthy VL.
Treatment & Rehabilitation of Fractures. Lippincott Williams
& Walkins. 2000Ruedi TP, Buckley RE, Moran CG. AO Principles of
Fracture Management. Thieme. 2007
