![]() There are two methods of traction namely, skin traction and skeletal traction. Traction method is used for the management of fractures and dislocations that cannot be treated by casting. Splints and casts made up of fiberglass or plaster of Paris material are used to immobilize the limb. Non-operative (closed) therapy comprises of casting and traction (skin and skeletal traction).Ĭlosed reduction is done for any fracture that is displaced, shortened, or angulated. To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical methods. It is important to ensure that the involved part of the body returns to its function after the fracture heals. The next step in fracture management is the reduction of the fracture and its maintenance. The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. These cells grow towards each other and thus close the fracture. Bone cells begin forming on either side of the fracture line. Our body reacts to a fracture by protecting the injured area with a blood clot and callus or fibrous tissue. ![]() Greenstick fractures: This is a unique fracture in children that involves bending of one side of the bone without any break in the bone.This type of fracture is more prone to infection and requires immediate medical attention. Open (compound) fractures are severe fractures in which the broken bones cut through the skin.Unstable fractures are those in which fragments of the broken bone are misaligned and displaced.Simple fractures in which the fractured pieces of bone are well aligned and stable.Overuse injury is a common cause of stress fractures in athletes. Thinning of the bone due to osteoporosis in the elderly can cause the bone to break easily. A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. The word “Fracture” implies to broken bone. A slight swelling may remain on the outer surface of the bone, but quite often, that region undergoes remodeling ( d), and no external evidence of the fracture remains.Home Patient Info Fractures and Trauma Fractures: Types and Treatment The cartilage in the calli is replaced by trabecular bone via endochondral ossification ( c).Įventually, the internal and external calli unite, compact bone replaces spongy bone at the outer margins of the fracture, and healing is complete. Over the next several weeks, osteoclasts resorb the dead bone osteogenic cells become active, divide, and differentiate into osteoblasts. Within about 48 hours after the fracture, chondrocytes from the endosteum have created an internal callus (plural = calli) by secreting a fibrocartilaginous matrix between the two ends of the broken bone, while the periosteal chondrocytes and osteoblasts create an external callus of hyaline cartilage and bone, respectively, around the outside of the break ( b). (c) Cartilage of the calli is replaced by trabecular bone. The healing of a bone fracture follows a series of progressive steps: (a) A fracture hematoma forms.
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