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, Reduction/Realignment: performing a surgical procedure on an open
fracture or use of external fixation on a closed fracture
1. External fixator: composed of metal pins & wires that are inserted into the
bone & attached to external rods to stabilize the feature while it heals. Can
be used to apply traction or compress fracture fragments & immobilize
reduced fragments. It is mainly used for complex fractures with extensive
soft tissue damage
Immoblization: cast/splint for 4-6wks & external fixation/traction
1. Keep cast dry, elevate cast, report numbness or tingling in extremities, do
not place items in the cast
Muscle spams involve meds (baclofen) & traction
Surgery can be replacement or open reduction internal fixation (ORIF) -
Surgeons perform a reduction & place the screws/plates within
For sprains & other soft tissue injuries: RICE - rest, ice, compress, & elevate
Close fracture
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bone in broken, but the skin is intact over the site. There are different types
(e.g., Greenstick fracture occurs when the bone has not completely broken.
One side is splintered & the other side bent. It is more common in younger
populations)
Fat Embolism Syndrome (FES)
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