A 35 year old motorcyclist was involved in motor vehicle accident.On arrival, you noted he had multiple laceration wound with bone protrusion over his right leg.<br /><ul><li>What is your immediate management?
Then if stable,send for regional xray</li></ul>After stabilization of patient, with no life threatening injury, he was diagnosed to have open fracture grade 2 of mid shaft of tibia<br /><ul><li>How do you grade open fracture?
The aim of open fracture management is to convert the open fracture to close fracture.once the wound is healing with primary wound healing/secondary wound healing or tertiary then the management is as closed fracture.</li></ul>The patient was kept immobilized for 3 weeks. He was explained about his complication of having prolonged bed bound.<br /><ul><li>What is the complication of prolonged immobilization?
Complication of fractures</li></ul>Early LateNeurovascular injuryCompartment syndromeInfectionGas gangreneFat embolismDelayed unionMalunionNonunion avascular necrosisjoint instabilityosteoarthritis<br />On examination and radiological finding,he was diagnosed to have non union fracture.<br /><ul><li>How do you differentiate non union and delayed union?</li></ul>Non unionDelayed unionClinical featuresPainlessMobilePainfulNon mobileXraysNo signs of healing-no callus formationPresence of callus formation<br /><ul><li>What is the causes of non union (5I)