Mr Alastair Robertson FRCS
SUSSEX LIMB RECONSTRUCTION
FRACTURES

What is a fracture?
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A fracture is description for a broken bone
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What are the types of fracture?
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Transverse - a straight horizontal break across a bone
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Spiral - a twisting type fracture
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Comminuted - a fracture with multiple bone fragments at the site of the break
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Segmental - a fracture where there is more than one fracture in the same bone
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Peri-articular - a fracture around or extending into a joint
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Peri-prosthetic - a fracture typically around an artificial joint replacement
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What are the principles of fracture management?
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The aim of treating any fracture is to keep the bone stable so that the body's biology can heal the broken bone
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How can fractures be stabilised?
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Fractures can be stabilised with casts, splints, internal metalwork such as plates and screws or external metalwork such as an external fixator
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How do you choose how to stabilise a fracture?
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All management decisions are made in patient centred, shared manner. Some fractures are amenable to stabilisation with a cast or splint, whereas some are more amenable to surgical stabilisation