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The Closed Treatment of Fractures

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Orthopaedic Trauma in the Austere Environment

Abstract

Conservative management can arguably be more challenging and labour intensive than many operative techniques. When resources are limited, non-operative treatments become the default method. Done well, the results can be very similar to those of operative management. Mastery of the arts of plaster craft and traction is of great value in achieving good outcomes for patients treated non-operatively. This chapter aims to provide an overview of how these methods can be used generally with a few specific examples. Multidisciplinary working, involving surgeons, nurses and physical and occupational therapists, is emphasised throughout.

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References

  1. Buckley R, Page J, Calhoun J, editors. General principles of fracture care. http://emedicine.medscape.com/article/1270717-overview#a03. Last Accessed 20 Oct 2014.

  2. Uebbing C, Walsh M, Miller J, Abraham M, Arnold C. Fracture blisters. West J Emerg Med. 2011;12(1):131–3.

    PubMed  PubMed Central  Google Scholar 

  3. Ramsey P, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg Am. 1976;58(3):356–7.

    CAS  PubMed  Google Scholar 

  4. Thomas B. Reduction of smith’s fracture. J Bone Joint Surg Br. 1957;39-B(3):463–70.

    CAS  PubMed  Google Scholar 

  5. Anderson RL. Conservative treatment of fractures of the femur. J Bone Joint Surg Am. 1967;49:1371–5.

    CAS  PubMed  Google Scholar 

  6. Marsh D. Concepts of fracture union, delayed union, and nonunion. Clin Orthop Related Res. 1998;355:S22–30.

    Article  Google Scholar 

  7. Sarmiento A, Gersten L, Sobol P, Shankwiler J, Vangsness C. Tibial shaft fractures treated with functional braces. Experience with 780 fractures. J Bone Joint Surg Br. 1989;71-B(4):602–9.

    Google Scholar 

  8. Giordano C, Koval K. Treatment of fracture blisters: a prospective study of 53 cases. J Orthop Trauma. 1995;9(2):171–6.

    Article  CAS  PubMed  Google Scholar 

  9. Halanski M, Noonan K. Cast and splint immobilization: complications. J Am Acad Orthop Surg. 2008;16:30–40.

    Article  PubMed  Google Scholar 

  10. Kamat AS, Pierse N, Devane P, Mutimer J, Horne G. Redefining the cast index: the optimum technique to reduce redisplacement in pediatric distal forearm fractures. J Pediatr Orthop. 2012;32(8):787–9.

    Article  PubMed  Google Scholar 

  11. Debnath U, Guha A, Das S. Distal forearm fractures in children: cast index as predictor of re-manipulation. Indian J Orthop. 2011;45(4):341–6.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Sarmiento A. Functional bracing of tibial fractures. Clin Orthop Rel Res. 1974;105:202–9.

    Google Scholar 

  13. Gupta A. The treatment of Colles’ fracture. Immobilisation with the wrist dorsiflexed. J Bone Joint Surg Br. 1991;73(2):312–5.

    CAS  PubMed  Google Scholar 

  14. Doorgakant A, Parmar R, Ngulube C. The Ntcheu derotation splint for lower limb traction. Trop Doct. 2012;42(4):214–6.

    Article  PubMed  Google Scholar 

  15. Buxton RA. The use of Perkins’ traction in the treatment of femoral shaft fractures. J Bone Joint Surg Br. 1981;63-B(3):362–6.

    CAS  PubMed  Google Scholar 

  16. Gosselin R, Lavaly D. Perkins traction for adult femoral shaft fractures: a report on 53 patients in Sierra Leone. Int Orthop. 2007;31(5):697–702.

    Article  PubMed  PubMed Central  Google Scholar 

Suggested Reading

  • Charnley J. The closed treatment of common fractures. 4th ed. Cambridge: Cambridge University Press; 2005. First published 1950.

    Google Scholar 

  • Cook J, Sankaran B, Wasunna AEO, editors. Surgery at the district hospital: obstetrics, gynaecology, orthopaedics, and traumatology. Geneva: World Health Organization (WHO), 1991.

    Google Scholar 

  • Doorgakant A, Mkandawire N, editors. Orthopaedic care at the district hospital. Ashtin Doorgakant; 2013.

    Google Scholar 

  • Gosselin R, Spiegel D, Holtz M, editors. Global orthopaedics- caring for musculoskeletal conditions and injuries in austere settings. New York: Springer-Verlag; 2014.

    Google Scholar 

  • King M, Bewes P. Primary surgery, vol. 2, Trauma. Oxford University Press. First published 1987.

    Google Scholar 

  • McRae R Clinical Orthopaedic Examination 5th ed. Edinburgh: Churchill Livingstone, 2010.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Trauma and Orthopaedics, Mersey Deanery Rotation, Warrington, Cheshire, UK

    A. Doorgakant MBBS, MRCS (Eng)

  2. Department of Conflict and Catastrophe Medicine, St George’s, University of London, London, UK

    Steve Mannion MChir, FRCS (Tr&Orth), FCS(ECSA)

Authors
  1. A. Doorgakant MBBS, MRCS (Eng)
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  2. Steve Mannion MChir, FRCS (Tr&Orth), FCS(ECSA)
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Corresponding author

Correspondence to Steve Mannion MChir, FRCS (Tr&Orth), FCS(ECSA) .

Editor information

Editors and Affiliations

  1. Queen Elizabeth II Health Sci, Dalhousie University, Halifax, Nova Scotia, Canada

    Juan de Dios Robinson

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© 2016 Springer International Publishing Switzerland

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Doorgakant, A., Mannion, S. (2016). The Closed Treatment of Fractures. In: Robinson, J. (eds) Orthopaedic Trauma in the Austere Environment. Springer, Cham. https://doi.org/10.1007/978-3-319-29122-2_25

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  • DOI: https://doi.org/10.1007/978-3-319-29122-2_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-29120-8

  • Online ISBN: 978-3-319-29122-2

  • eBook Packages: MedicineMedicine (R0)

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