Nonsurgical Principles of Fracture and Injury Management
Over the past couple of decades, younger generations of orthopedic surgeons in HICs have had a significant decrease in their exposure to nonsurgical treatments of musculoskeletal injuries. Surgeons in middle-income countries are experiencing a rapid transition from nonoperative to internal fixation of fractures. The current epidemic of road traffic injuries has helped push the speed of this transition as overcrowded hospitals cannot cope with the 6–10-week stays needed for adequate treatment of traction patients. But in more austere environments, nonoperative treatment remains the cornerstone of musculoskeletal injury management and provides an invaluable safety net [1, 2]. The following section is a brief reminder of basic principles of conservative techniques such as casting and traction.
- 3.http://upoj.org/wp-content/uploads/v20/v20_27.pdf. Cast wedging: a forgotten yet predictable method for correcting fracture deformity. U Penn Orthop J. 2010;20:113–6.
- 4.http://www0.sun.ac.za/ortho/zoom/trac.pdf. Overview of traction methods.
- 5.Byrne T. Traction handbook, Zimmerbooks. 9th ed. 2005. Available at: http://www.zimmer.com/web/enUS/pdf/200080500_TractionHandbook.pdf.