Term
| What kinds of orthopedic injuries are urger? |
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Definition
-open fractures
-fractures communicatign with or without joint |
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Term
| What do we look for neurologically with fracture management? |
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Definition
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Term
| What are the typical priority guidelines? |
|
Definition
-1. Head trauma & neuro deficits
2. thoracic trauma: hemo/uroabdoment
3. fracture |
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Term
| What are we looking for on palpation of a potential fracture case? |
|
Definition
-creptius
-incongruity
-swelling
0emphysema
-bone expsoure |
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Term
| How do we ensure peripheral nn are intact? |
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Definition
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Term
| What is the major peripheral nerve that we are concerned with in regards to forelimb> |
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Definition
|
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Term
| What are the two major nerves of the hindlimb? |
|
Definition
-femoral
-sciatic: peroneal and tibial |
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Term
| How do we manage open fractures? |
|
Definition
-initiate antibiotics
-pain control
-cover the wound
-immobilize |
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Term
| How do we manage a fracture that is on hold? |
|
Definition
-immobilize
-pain control
-treat more severe concerns
-antibiotics IF OPEN |
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Term
| What are the 6 types of Salter-Harris fractures? |
|
Definition
I: physis only
II: physis + metpahysis
III: physis + epiphysis
IV: physis + metaphysis + epiphysis
V: crushed physis
VI: partial physeal damage |
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Term
| What are our three major concerns when selecting a fixation procedure? |
|
Definition
-allow for load sharing
-control the forces acting on the fracture
-maintain alignment to allow healing |
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Term
|
Definition
| -balance with degree of fixation and soft tissue damage required to achieve fixation |
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|
Term
| What is the ideal implant location to fix a fracture? |
|
Definition
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Term
| What are the goals of orthopedic surgery? |
|
Definition
-appropriate fracture healing
-restoration of function |
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Term
| What are the characteristics of good surgical technique with orthopedic surgery? |
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Definition
-avoid tech errors
-avoid excessive soft tissue damage
-avoid breaks in aseptic technique
-avoid prolonged surgery
-Halstead's Principles |
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Term
| What are Halstead's principles? |
|
Definition
-gentle tissue handling
-control hemorrhage
-strict aseptic technique
-preserve blood supply to tissues
-eliminate dead space
-appose tissues accurately |
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Term
| What is the #1 source of infections in orthopedics? |
|
Definition
-patient's skin
-thus do NOT clip hair anytime earlier than after patient is under anesthesia |
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Term
| How do we manage antibiotics with ortho cases? |
|
Definition
-used when implants are in place
-admin 30 mins prior to incision
-clean
-open fracture/infection |
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Term
| What are some biological factors that affect ortho management? |
|
Definition
-multiple limbs involved
-underlying ortho disease
-concurrent disease
-local soft tissue health |
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Term
| What 4 things do we asses on post-op rads? |
|
Definition
-alignment
-apparatus
-activity
-apposition |
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|
Term
| What are some of the common complications of ortho surgery? |
|
Definition
-infection
0implant failure
-surgical failure
-loss of function
-malunion/nonunion
- |
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