Electric bone growth stimulation

Electric bone growth stimulation Used to facilitate healing process Increase calcium uptake Activate intracellular calcium stores Increase bone growth factor production Non-invasive, semi-invasive, and invasive methods Drug therapy Central and peripheral muscle relaxants Carisoprodol (Soma) Cyclobenzaprine (Flexeril) Methocarbamol (Robaxin) Tetanus and diphtheria toxoid Bone-penetrating antibiotics Nutritional therapy Increase protein (1 g/kg of body weight) Increase […]

Fracture immobilization

Fracture immobilization Cast Temporary Allows patient to perform many normal activities of daily living Made of various materials Typically incorporates joints above and below fracture Upper extremity immobilization Sling To support and elevate arm Contraindicated with proximal humerus fracture Ensures axillary area is well padded No undue pressure on posterior neck Encourage movement of fingers […]

Fracture reduction

Fracture reduction Closed reduction Nonsurgical, manual realignment of bone fragments Traction and countertraction applied Under local or general anesthesia Immobilization afterwards Open reduction Surgical incision Internal fixation Risk for infection Early ROM of joint to prevent adhesions Facilitates early ambulation Traction Purpose Prevent or decrease pain and muscle spasm Immobilize joint or part of body […]

Factors influencing healing

Factors influencing healing Factors influencing healing Displacement and site of fracture Blood supply to area Immobilization Internal fixation devices Infection or poor nutrition Age Smoking Complication of fracture healing Delayed union Fracture healing progresses more slowly than expected. Healing eventually occurs. Nonunion Fracture fails to heal despite treatment. No x-ray evidence of callus formation Malunion […]