Fracture Management

Question 1

Initial assessment?

Answer 1

ABCDE

Question 2

What may be considered before imaging>

Answer 2

Splinting + reduction

Question 3

How may reduction before imaging be done?

Answer 3

Manipulation/closed reduction

Traction

Question 4

What imaging should be done?

Answer 4

X ray

Question 5

What are the protocols of an open fracture?

Answer 5

6 As

Question 6

What are the 6 As?

Answer 6

Assess

Analgesia

Anti-sepsis

Alignment

Anti tetanus

Antibiotics

• Flucloxacillin
• Augmentin

Question 7

What is assessed in the assess A?

Answer 7

Soft tissue involvement

Gustillo criteria

Question 8

What is the gustillo criteria?

Answer 8

All about the wound not the fracture

Question 9

What is a type 1 gustillo?

Answer 9

<1cm with no soft tissue damage

Question 10

What is a type 2 gustillo?

Answer 10

1 - 10 cm

Some contamination

Question 11

What is a general type 3 gustillo?

Answer 11

> 10cm

Heavy contamination

Question 12

What constitutes a type 3a gustillo?

Answer 12

Farm injury

> 10cm

Periosteum intact

Question 13

What constitutes a type 3b gustillo?

Answer 13

Extensive soft tissue damage

Needs a flap added

Question 14

What constitutes a type 3c gustillo?

Answer 14

Extensive damage

VASCULAR INVOLVEMENT

Question 15

How is an epiphyseal fracture categorised?

Answer 15

SALTER HARRIS

Question 16

What are the salter harris classification?

Answer 16

1 = S - slipped
2 = A - above
3 = L - lower
4 = Te - through everything
5 = R - rammed (crushed)

Question 17

What is main management of fractures?

Answer 17

Reduction or restriction

Physio
Casts
OT