CT Week 13

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FRACTURE

fracture is a break or disruption in

the continuity of a bone.


It can either be a complete or

incomplete fracture, closed or

open.

EARLY COMPLICATIONS OF FRACTURE:


WATCH OUT FOR:
shock & fat embolism

LATE COMPLICATIONS OF FRACTURE:


WATCH OUT FOR:
delayed union & nonunion

1 SHOCK
hypovolemic shock resulting from hemorrhage

This may occur in fractures of the extremities, thorax,

pelvis, or spine

2 FAT EMBOLISM
Most frequent in young adults aging 20-30 years old, and elderly with a proximal femur

fracture

Fat globules may move into the blood because of:

marrow pressure > capillary pressure

catecholamines increased by the patient's stress reaction mobilize fatty acids to

promote development.

Fat globules, or emboli, occlude small blood vessels that supply the lungs, brain, kidneys,

etc.

3 DELAYED UNION
This occurs when healing does not occur at a normal rate

for the location and type of fracture.

This is associated with distraction (pulling apart) of bone

fragments, systemic local infection, poor nutrition or

comorbidity; eventually, the fracture heals.

4 NONUNION
Failure of the ends of the fractured bone to unite. Therefore,

problems include infection, the interposition of tissue between

the bone ends, inadequate immobilization or manipulation that

disrupts callus formation, excessive bone gap, limited bone

contact, the impaired blood supply that leads to avascular

necrosis

SUBMITTED BY: YABUT, ALEXIA PAMELA C.


BSN 3-YB-4 | NCMB 316
reference: canvas module - fracture ppt

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