Double Trouble: Both-Bone Fractures

​Both-bone forearm fractures may make you feel a little nervous. A completely crooked forearm is definitely a disturbing sight. Both-bone forearm fractures (especially of the midshaft) typically require surgical intervention, but relocation of bony injuries, regardless of site or complexity, is an important and necessary skill you need to know. Plus, you will be required to assist with sedation, reduction, and splinting when the orthopedic team is involved.​Correcting and stabilizing two bones (instead of one) may seem tricky, but we are going to help you do it right. This complex procedure should be done with orthopedic consultation whenever possible. If that isn't available and the patient requires transfer or faces a long wait, this is a good way to reduce and stabilize the injury.Creative Commons.Why do we care about doing closed reductions for fractures if the really bad ones go to surgery anyway? And data suggest that minor pediatric bony injuries may not need reduction at all. (J Bone Joint Surg Am 2012;94[3]:246.) It's important to know why angulation, displacement, and degree of fracture may require quick reduction. Reduction allows patients to start healing faster, restores blood flow, and relieves pain. Avascular necrosis also can set in as early as six to eight hours post-injury in many long bone fractures, such as femur fractures. Reduction, even if closed is the only option, is key to avoiding long-term complications.Both-bone fractures in pediatric pati...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs