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Fractures and Dislocations

Surgery

Assumptions

The student will have a working knowledge of the proper evaluation and stabilization of a trauma patient.

Knowledge Objectives

Through their reading and patient care experiences, at the end of the rotation students should be able to:

Understand indications for nonsurgical vs. surgical treatment of fractures.
Closed vs. open
Stable vs. unstable
Nonarticular vs. articular
Describe appropriate immobilization techniques for fractures and dislocations.
Sugar tong splint for upper extremity
Posterior and stirrup splint for lower extremit
Traction pin for lower extremity
List fractures/dislocations requiring urgent treatment due to associated risks.
Open fractures (infection)
Unstable spine fractures/dislocations (spinal cord injury)
Pelvic fractures (hemodynamic instability from persistent bleeding)
Femoral neck fractures in young individuals (AVN of femoral head)
Hip dislocations (AVN of femoral head)
Knee dislocations (vascular compromise to lower extremity)
Talus fractures (AVN)
Describe initial treatment of above injuries to minimize further damage
Define the various methods of fracture treatment.
Closed vs. open reduction
Internal fixation vs. external fixation vs. percutaneous fixation
Noninvasive immobilization (splint/cast) vs. invasive immobilization
Internal/external/percutaneous fixation