Fracture
Fracture is a disruption or break in the continuity of the bone.
what kind of injuries account for the majority of fractures
Traumatic injuries account for the majority of fractures.
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Fracture - ANSWER- Fracture is a disruption or break in the continuity of the
bone.
what kind of injuries account for the majority of fractures - ANSWER- Traumatic
injuries account for the majority of fractures.
fracture classifications - ANSWER- Fractures can be classified as open (formerly
called compound) or closed (formerly called simple) depending on possible
communication with the external environment. Fractures may also be classified
based on the fracture pattern (e.g., transverse, oblique) or by fragment alignment
(i.e., displaced, nondisplaced).
fracture manifestations - ANSWER- Manifestations include localized pain,
decreased function, and inability to bear weight or use the affected part. Obvious
bone deformity may not be present.
fracture healing - ANSWER- Bone goes through six stages of healing (union).
Many factors influence union (e.g., age, blood supply, infection, hormones,
immobilization, and site of the fracture).
Goals of fracture treatment - ANSWER- The goals of fracture treatment are
anatomic realignment of bone fragments, immobilization to maintain realignment,
and restoration of function.
closed reduction for fractures - ANSWER- Closed reduction is the nonsurgical,
manual realignment of bone fragments. Treatment following reduction includes
traction, casts, splints, and braces.
, open reduction for fractures - ANSWER- Open reduction is the correction of bone
alignment through surgery. It may involve the use of wires, screws, or pins
placed internally or externally.
traction for fractures - ANSWER- Various types of traction may also be used to
immobilize fractures.
fracture immobilization - ANSWER- Fracture immobilization may be accomplished
using a cast. The cast usually restricts the joints above and below the fracture.
Patients require teaching about signs of cast complications so that they can
contact the HCP promptly.
fracture immobilization - for upper extremity injuries - ANSWER- For upper
extremity injuries: sugar-tong splints, posterior splints, and short- and long-arm
casts are used. A body jacket brace is often used for stable thoracic and lumbar
spine injuries.
fracture immobilization - for lower extremity injuries - ANSWER- For lower
extremity injuries: cylinder, long- or short-leg casts; Robert Jones dressings; or
splints/immobilizers may be used.
internal and external fixation - ANSWER- · External and internal fixation devices
may also be used to immobilize fractures.
Wires, screws, intramedullary nails, or pins can be used to perform ORIF.
For external fixation, a metal frame is attached to the bone fragments with pins
through the skin.
nursing assessment for fractures - ANSWER- Fractures require nursing
assessment of peripheral circulation (color, temperature, capillary refill,
peripheral pulses, and edema) and neurologic function (sensation and motor
function).
nursing care for fractures - ANSWER- Nursing care involves comfort measures
for pain, interventions to prevent complications associated with immobility, and
nutritional support.
postop care for fractures - ANSWER- Postoperative care following ORIF involves
applying the general principles of postoperative nursing care.
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