lect. fracture of long bone & pelvis
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FRACTURE OF LONG BONE & PELVICProf. dr. Armis, SpB. SpOTDepartment of Orthopaedic & TraumatologicFaculty of Medicine, GMU
Armis - 2005
PROBLEMSTraffic accident / severe traumaHigh energy traumaHigh rate of mortality and morbidityHigh rate of complicationsTrauma other regionsEmergency
Armis - 2005
Armis - 2005
THE PATIENT NEED
To improve the functionTo prevent or reduce the mortality and morbidity
Armis - 2005
BONE TRAUMAENERGYTRAUMA Direct
Indirect
chronic traumaLowMedSevereFRACTURESClosedOpenOUTCOMEHEALINGPrimary (OSTEONAL)Secondary (CALLUS)Influencingfactors UNION
DELAYED UNION
NONUNION
MALUNION
OSTEOMYELITIS
TREATMENT
Armis - 2005
Armis - 2005
Education Objectives
The student should be able:1. To describe the fracture, location, pattern, amount of fragment displacement and integrity of the skin and soft tissue enveloped around the fracture
Armis - 2005
Educational Objectives1.a. To know the definition of fracture and how the fracture happened
Armis - 2005
Educational Objectives1.b.To understand simple fracture, comminuted fracture, hairline fracture, greenstick fracture, compression fracture, impacted fracture and pathologic fractureTransversal < 30ooblique > 30o
Armis - 2005
Educational Objectives1.c. To identify the location of fracture (anatomical division and AO terminology)ProximalDiaphysis / ShaftDistal
Armis - 2005
Educational Objectives1.d. To realize the displacement of fracture fragment (no displacement, and others, bone contact, angulation and fragment rotation)CONTACT 80%
ANGULATION 0O
NO ROTATION
SLIGHT DISPLACEMENT
Armis - 2005
Educational Objectives1.e. To know the integrity of the skin(closed or open fracture)
Armis - 2005
Educational Objectives1.f. To differentiate between adult and children fracture
Armis - 2005
Educational Objectives2. To understand how the fracture heal (primary and secondary healing process: hematoma form, fibrous tissue form, blood supply reestablished, callus form and bone reabsorbed or remodeling process)
Armis - 2005
Education Objectives
The student should be able:3. To analyze and identify the history, physical and additional examination data in knowledge to make a diagnosis
Armis - 2005
History (Basic Skill)To know how to take the patient history (complaint and location, the nature of accident, biomechanic of trauma, the point of impact and some precipitating factor) in knowledge.
Armis - 2005
Physical Examination (Basic Skill)To identify the looking data (any asymmetry of contour or posture, local bruising, swelling)To look for the palpation data (tenderness, abnormal movement, and crepitation)To look for the condition of distal part of the lesion.
Armis - 2005
Radiographic Examination (Basic Skill)To know what location and which views do you order for diagnosis, confirmation or plan treatment.
To identify the radiographic data
Armis - 2005
Diagnosis of FractureTo analyze the history, physical and radiograph examination data to make a diagnosis of fracture (which bone, location, closed or open)To know the pitfalls diagnosis of fracture (elderly patient, dashboard injury, calcaneus fracture, ankle injury, unconscious trauma patient and impacted humerus neck fracture in children and others)
Armis - 2005
Armis - 2005
Education Objectives
The student should be able:4. To plan the management and know the simple treatment and priority intervention for life saving and live limb
Armis - 2005
Education Objectives
The student should be able:5. To predict complication of the fracture (Bleeding, hypovolemic shock, DVT, fat emboli etc.)
Armis - 2005
Education Objectives
The student should be able:6. To decide the reason for admission to hospital
Armis - 2005
Education Objectives
The student should be able:7. To identify the union evaluation and simple rehabilitation to the patient
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