Examination:
-examination of leg wound
-site
-size
-clean /dirty
-bone exposure
-examination of limb
-shortening/angulation
-examination of external fixator & complications
-EF configuration
-pin tract
-rock the EF - pain? loosening?
-movement of ankle and knee joint - stiffness?
-neurovascular bundle

Common Qs:
1. How to grade open fracture:
-Gustillo-Anderson classification
-wound size,duration of injury, degree of soft tissue injury

2.How to manage open fracture?
-wound debridement- wash copiusly and remove foreign & unhealthy tissue.
-IV antibiotics
-external fixation
-leave wound open
-avoid internal fixation

3.How to differentiate between healty and necrotic muscles?
-5C
-Healthy muscles: color (red), character (turgid, not friable),contractility, circulation (bleeds)

4. Complications of open fracture.
-infection -osteomyelitis
-non union

5.What is the common indications of EF?
-open fracture
-bone lengthening
-pelvic # (open book # - to control bleeding)
-comminuted, intraarticular # d/e radius
-joint fusion (knee)
-infected non union

6.Advantages?
-can be done under LA
-fast procedure
-allow better wound inspection/care
-low infection risk

7.Complications of EF?
-pin tract infection-- OM
-joint stiffness
-non union
-neurovascular injury

Labels: Short cases in orthopaedics