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MSSMSS
Indian Pre-Basic Course:Indian Pre-Basic Course:
PRINCIPLES OF FRACTURE PRINCIPLES OF FRACTURE TREATMENTTREATMENT((CONCEPTSCONCEPTS) )
KNOW THE REASON FOR FAILURE KNOW THE REASON FOR FAILURE AND METHODS TO PREVENT IT .AND METHODS TO PREVENT IT .
MSSMSS
Ideal management of Ideal management of fracturefracture
The revolution continues - The revolution continues - methods are evolving, methods are evolving, principles remains the same.principles remains the same.
Proper understanding of the Proper understanding of the personalities of the fracture personalities of the fracture and the injury is the and the injury is the prerequisite.prerequisite.
MSSMSS
FRACTURE DISEASE.FRACTURE DISEASE.
PAIN AND LACK OF PAIN AND LACK OF PHYSIOLOGICAL PHYSIOLOGICAL CHALLENGE TO BONE & CHALLENGE TO BONE & MUSCLE COMPLEX.MUSCLE COMPLEX.
3.3. Preservation of the Preservation of the blood supply.blood supply.
4.4. Early active pain free Early active pain free mobilizationmobilization..
MSSMSS
For affective application of the concepts For affective application of the concepts clear understanding that clear understanding that
Articular and diaphysis fractures have very Articular and diaphysis fractures have very different biological requirements.different biological requirements.
Type and timing of surgical intervention Type and timing of surgical intervention must be guided by injury to soft tissue must be guided by injury to soft tissue envelope.envelope.
Physiological demand of the patient.Physiological demand of the patient.
– Articular cartilage does not Articular cartilage does not remodel . Incongruity becomes remodel . Incongruity becomes permanent and can lead to post permanent and can lead to post traumatic arthritis.traumatic arthritis.
– Perfect anatomical restoration and Perfect anatomical restoration and freedom of joint motion can only be freedom of joint motion can only be obtained by internal fixation –obtained by internal fixation –
Sir John CharnleySir John Charnley
MSSMSS
ARTICULAR FRACTUREARTICULAR FRACTURE
ANATOMICAL REDUCTION AND STABLE INTERNAL FIXATION ANATOMICAL REDUCTION AND STABLE INTERNAL FIXATION - AO- AO