Indications of orthoses in external fixation of fractures
External fixation of orthoses in fractures is not the only method for treating fractures. Most of its applications are relative and vary according to the orthopedic surgeon’s understanding of orthoses and knowledge and experience of external fixation of fractures. Decide what orthosis to use to fix the fracture. The indications of orthoses for external fixation of fractures can be divided into two categories: optimal and relative.
1. The best indications of orthoses for external fixation of fractures
1) Open fractures of extremities with severe soft tissue injuries, especially calf fractures with extensive soft tissue injuries.
2) Firearm fractures require multiple debridements due to changes in soft tissue inactivation. The use of orthoses is convenient for observing the wound and handling the patient multiple times.
3) For severe burns accompanied by fractures, orthosis treatment can not only provide firm fixation for fractures, but also facilitate observation and treatment of the wound surface, preventing compression of the skin graft area and joint scar contracture.
4) For open fractures or multiple fractures with multiple injuries, the orthosis can also quickly brake the fracture, which can reduce pain and reduce the risk of further blood loss, which is beneficial to anti-shock and buy time for the life-threatening injury of the patient. .
5) Infectious fracture and nonunion, the use of orthoses is conducive to wound treatment, and at the same time, the fracture can be firmly fixed, which can effectively take into account the treatment.
6) The fracture is accompanied by nerve and blood vessel damage.
7) Limb lengthening.
8) Arthrodesis.
9) Postoperative fixation of femur, tibia and fibula fractures.
10) Postoperative fixation after fractures of various parts of the spine.
11) Fixation after reduction of humeral fractures.
2. Relative adaptation of orthoses in external fixation of fractures
1) For some pelvic fractures and dislocations, the use of orthoses can stabilize pelvic fractures, control blood loss and reduce pain, reduce heavy care, and supplement the deficiencies of traditional therapy.
2) For comminuted fractures at the articular end of the bone, such as unstable fractures with displacement of the lower end of the radius, on the basis of ligament restoration and fixation, the effect of using orthoses to maintain a good reduction is better than other treatment methods.
3) For olecranon fractures and patella fractures, the fixation of the orthosis can resist the contraction of the biceps brachii and quadriceps femoris, prevent the fractures from re-displacement, and at the same time move the joints early.
4) For multiple closed fractures, it is difficult to use other treatment methods, and orthoses can be used as an alternative method.
5) Patients with trochanteric fractures are not suitable for surgical fixation. Fixation with orthoses can meet the needs of fracture fixation and early mobilization. The indications of orthoses for external fixation of fractures are mostly relative, and to a considerable extent depend on the orthopaedic physician’s knowledge of this therapy and the mastery of application techniques.
Post time: Aug-30-2022