Serious symptoms of articular fractures – Credihealth Blog

Over the years, orthopedic implants such as boards and external fixators available for the treatment of articular fractures by external fixator devices.. The goals of treatment for an articular fracture are to rebuild the joint and the firm attachment between the joints that allows the pain to move. Inter-fragmentary screw opening and fixation (ORIF) in the form of hard cracking by combining an inter-fragmentary screw lag fixator and an external fixator. If you have severe tender muscle pain, these two options are necessary.

As a joint, the external fixator can be used as a short -term measure of the severity of an unsteady articular fracture so that the soft tissue fracture can be prevented from allowing more detailed correction. Any larger group than the shoulder can be combined with this technology. It is more difficult to join than to edit out of the palm. And to reduce fracture by weakening such as ligamentotaxis, an external fixator is first used. Second, the pieces hold in place. But it should be taken care of as follows: the wrist joint should not be removed, and the embarrassment should be kept for a permanent period of not more than three or four weeks.

During a fracture of the tibia, the anterior metatarsal is always used to keep the ankle and foot in an upright position with an external attachment.

Because external planning for the merger is usually short -term, it is necessary to include a thoughtful plan. So it will not go the route of final internal correction after a period of 1-2 weeks. And if you have a soft tissue defect, you should consult a doctor so that it can be prevented from undergoing a new procedure later.

If the pine loses its grip on the bone, it continues with pine-track disease. The removal of the pin and the return of the bone can be seen on an x-ray. This problem can be solved by changing the pin to a new system.

Postoperative Pin-track care

Proper insertion of the pin is essential. Soft-tissue tissue must be removed at the time of incision. Careful care must be taken of the pin-track location to reduce the risk of pin-track problems. It must be cleaned and sterilized with betadine.

Change the internal configuration

However, the external fixator is widely used in multi-trauma patients and in the open fractures as a problem solver. But there are some drawbacks of this external regulator in the rear maintenance of a fracture. These shortcomings make the game so large, comfortable due to its size, the requirement of daily maintenance of the pin and the limits of movement. Because of these problems, the patient may require a change in internal stabilization.

Working Class

If pain of the pineal glands is not found, then within two weeks of external correction, unreamed intramedullary nailing is safe. But if the disease is found in the pine areas and if it is decided to replace the external fixator with an intramedullary needle after two weeks, then the external fixator, pin track curette and plaster cast of the nail should be removed. limbs are required until the disease is completely cleared. A standard external controller can be replaced by using a pin-less tool as a substitute for this procedure.

And if there is a plan of installing hand grips, in that case, after cleaning the pin tracks, the fixator can be kept for a week or two before replacement.

Although MIPO is applied to repair a proximal femoral fracture with a 95º condylar fracture, varus malalignment can occur during contraction. The carved trench is pre -arranged using standard AO techniques. The 95 ° condylar plate is drawn into the submuscular cavity near the posterior cortex of the femur with a lateral direction. The middle side is changed to fit into the prepared trench. As such, the cutting head and the trench should not meet as quickly as possible. The incision goes out of the board and creates a false incision, bringing the proximal incision to the varus position.

The explanation behind this is that the same thigh muscles throw the cuticle into a varus state. This difficulty can be avoided by inserting a joystick into the adjacent piece to take it in a more precise position at the edge when joining the sharp edge. Likewise, the guide pin that was previously used to maintain the installation of the seat etch should be left to adjust the quality of the joint. Another tip is to use a short angle of 50-60 mm in length to make it easier to change the ready stream.

Tibial Arrangement Matrix

The damage or valgus of the tibia can be evaluated using a tibial alignment matrix consisting of various K-wire types 3-5 cm separated between two plastic plates. The matrix is ​​located below the tibia extending from the knee to the lower leg. An AP model is carried on the knee with an image amplifier, with a K-wire attached to the knee joint. The C-arm was then moved to obtain an AP pattern on the lower leg joint. The K wire below the lower leg joint is associated with the lower leg joint line, no varus or valgus malalignment of the tibia. The external regulator can be used in the same way as two Schanz regulators.

Disclaimer: The words, opinions, and data contained in these publications are those of the authors and contributors only and not those of Credihealth or the editor.

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