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Fracture
Definition:
● Breach of the continuity of the surface of bone or cartilage which may be
complete or partial either due to trauma or any pathology is called fracture ..
Classification
● Etiological
● Traumatic fracture
● Atraumatic fracture
● Clinical :
● Open fracture
● Closed fracture
● Radiological :
● Transverse fracture
● Oblique fracture
● Spiral fracture
● Comminuted
fracture
Pathophysiology
● Disruption of Muscles attached to the bone.
● Muscles undergo spasm and pull the fracture fragments out of position.
● Fracture fragments may be displaced sideways and may also be rotated.
● Periosteum and blood vessels in the cortex and marrow of the fractured bone
are disrupted.
● Bleeding occurs from both the soft tissue and from the damaged end of bone
● Hematoma form in the medullary canal
● When the fractured bone and its surrounding tissues bleed, creating a fracture
hematoma, the natural healing process for the fracture begins.
● Blood arteries expand inside the blood clot's jelly-like matrix, bringing
phagocytes and fibroblasts with them. These fibroblasts proliferate and
create collagen fibers, which calcium hydroxyapatite crystals then mineralize.
● By three months following the injury, the bone's strength is typically 80% of
its pre-injury level.
● The process of mending bones can be aided or hindered by elements like
weight-bearing stress, proper nutrition, and cigarette use.
Investigations
● Radiographic imaging
● Computed Tomography (CT)
● Magnetic Resonance Imaging (MRI) may be indicated
Treatment
● General treatment ● Open fracture treatment
● ATLS
Complications:
Immediate complication :
● neurovascular injury
● hypovolemic shock
● neurogenic shock
● Injury to major vessels
● Injury to muscles & tendons
● Injury to joints
● Injury to viscera
Late complication
● Malunion
● Non union
● Delayed union
● Cross union
● Joint stiffness
● Osteomyelitis
● Osteoarthritis
● Avascular necrosis
Early complication :
● ARDS
● Compartment syndrome
● Fat embolism
● Deep vein thrombosis
● Sepsis (in open fracture)
● Crush syndrome

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fracture.pptx

  • 2. Definition: ● Breach of the continuity of the surface of bone or cartilage which may be complete or partial either due to trauma or any pathology is called fracture ..
  • 3. Classification ● Etiological ● Traumatic fracture ● Atraumatic fracture ● Clinical : ● Open fracture ● Closed fracture ● Radiological : ● Transverse fracture ● Oblique fracture ● Spiral fracture ● Comminuted fracture
  • 4. Pathophysiology ● Disruption of Muscles attached to the bone. ● Muscles undergo spasm and pull the fracture fragments out of position. ● Fracture fragments may be displaced sideways and may also be rotated. ● Periosteum and blood vessels in the cortex and marrow of the fractured bone are disrupted. ● Bleeding occurs from both the soft tissue and from the damaged end of bone ● Hematoma form in the medullary canal
  • 5. ● When the fractured bone and its surrounding tissues bleed, creating a fracture hematoma, the natural healing process for the fracture begins. ● Blood arteries expand inside the blood clot's jelly-like matrix, bringing phagocytes and fibroblasts with them. These fibroblasts proliferate and create collagen fibers, which calcium hydroxyapatite crystals then mineralize. ● By three months following the injury, the bone's strength is typically 80% of its pre-injury level. ● The process of mending bones can be aided or hindered by elements like weight-bearing stress, proper nutrition, and cigarette use.
  • 6. Investigations ● Radiographic imaging ● Computed Tomography (CT) ● Magnetic Resonance Imaging (MRI) may be indicated
  • 7. Treatment ● General treatment ● Open fracture treatment
  • 9. Complications: Immediate complication : ● neurovascular injury ● hypovolemic shock ● neurogenic shock ● Injury to major vessels ● Injury to muscles & tendons ● Injury to joints ● Injury to viscera Late complication ● Malunion ● Non union ● Delayed union ● Cross union ● Joint stiffness ● Osteomyelitis ● Osteoarthritis ● Avascular necrosis Early complication : ● ARDS ● Compartment syndrome ● Fat embolism ● Deep vein thrombosis ● Sepsis (in open fracture) ● Crush syndrome