LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South...
Transcript of LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South...
![Page 1: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/1.jpg)
LOWER LIMB FRACTURELOWER LIMB FRACTUREComplicationsComplications
Professor Jegan KrishnanProfessor Jegan KrishnanFlinders UniversityFlinders University
Adelaide, South AustraliaAdelaide, South Australia
Specialists Without BordersSeminar in Surgery
Rwanda, September 2010
![Page 2: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/2.jpg)
www.specialistswithoutborders.org
Learning ObjectivesLearning Objectives Identifying the common lower limb fracture complications Early assessment and management Prevention of complications
![Page 3: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/3.jpg)
www.specialistswithoutborders.org
InfectionInfection
Infection at fracture prevented by early and maticulouss debridement Early appropriate antibiotics Fracture stabilisation Soft tissue coverage
![Page 4: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/4.jpg)
www.specialistswithoutborders.org
Compartment SyndromeCompartment Syndrome Most common fracture complication missed Early assessment Clinical features Compartment Pressure Measurements Early Fasciotomy
![Page 5: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/5.jpg)
www.specialistswithoutborders.org
Vascular InjuryVascular Injury Early recognition Early Investigation Vascular Surgery Consultation Reanastomosis
![Page 6: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/6.jpg)
www.specialistswithoutborders.org
Vascular InjuryVascular Injury
![Page 7: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/7.jpg)
www.specialistswithoutborders.org
Neurological InjuryNeurological Injury
Early assessment both pre-reduction and post reduction
Majority of injuries are neuropraxia When to explore is a tricky decision
![Page 8: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/8.jpg)
www.specialistswithoutborders.org
Neuropraxia Neuropraxia Early recognition Determine level of injury Observe recovery rate Nerve conduction test and EMG Explore if recovery rate not progressing as expected
![Page 9: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/9.jpg)
www.specialistswithoutborders.org
Non UnionNon Union
Definition Types – Hypertrophic
– Atrophic Management – Stabilisation
– Bone Grafting
![Page 10: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/10.jpg)
www.specialistswithoutborders.org
MalunionMalunion Definition Management
![Page 11: LOWER LIMB FRACTURE Complications Professor Jegan Krishnan Flinders University Adelaide, South Australia Specialists Without Borders Seminar in Surgery.](https://reader035.fdocuments.net/reader035/viewer/2022070409/56649e7c5503460f94b7dad2/html5/thumbnails/11.jpg)
www.specialistswithoutborders.org
SUMMARYSUMMARY
Best management is prevention Early suspicion Early recognition Early correction Late corrective options are available