12/29/2023 0 Comments Occult tibial plateau fracture![]() ![]() Grade I - Closed fracture caused by low-moderate energy mechanisms, with superficial abrasions or contusions of soft tissues overlying the fracture.Grade 0 - Injury from indirect forces with negligible soft tissue damage.Tscherne Classification- describes closed fractures: This classification system is prognostic in terms of healing time and rate of nonunion.ĪO classification – simple, wedge or complex fractures with subclassifications based on associated fibular fractures. Describes the associated soft tissue injury in open fractures. There are many classification systems for tibial shaft fractures including: May be suitable for orthopaedic review within 1-2 days but must be discussed with on-call orthopaedic team prior to discharge. Confirmed or suspected acute compartment syndrome.Will require admission for IVAbx, formal washout +/- fixationĬlosed simple tibial shaft fractures with none of the following: The following video has been prepared by the ECI and demonstrates the correct use of the Donway Femur Traction Splint. The following video has been prepared by the Queensland Ambulance Service and demonstrates the correct application of the CT-6 Splint on an adult patient with a femoral shaft fracture. You may transition to a different type of femoral splint once the patient arrives in the ED, pending your local protocols and the equipment available.Īppropriate splinting will assist with haemodynamic control as well as providing an analgesic affect, but remember that all patients with confirmed or highly suspected femoral fractures should have early consideration for regional analgesia (femoral nerve block, FNB or fascia iliaca block, FIB), upon arrival in the ED. Remember that you should still be able to assess and monitor the neurovascular status of the leg, and remember to check for and regularly assess the skin for pressure sores from splint application. ![]() Patients may arrive from the field with a splint attached. NSW Ambulance use only the CT-6 splint (an advanced, lightweight form of traction splint). Donway, Thomas) and ‘non half ring’ splints (e.g. These may be broadly grouped as ‘half ring’ splints (e.g. There are a number of different femur splints available. May transition to skin traction where operative intervention is not readily available. Most often operative intervention, but may be by long leg caste where non displaced and multiple medical conditions. Traction as per device often applied as pre hospital measure, assure has not lost traction or position in transit. Potential for blood loss into thigh being a significant contributor to shock. Initial management as per ATLS/EMST considering potential polytrauma complications. ?indicated when diminished distal pulses after gross alignment restored.identifying separate osteochondral fragments in the area of the intercondylar notch.establishing intra-articular involvement. ![]()
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