Question

CASE STUDY A Fracture J.R., age 17, has a compound fracture of the femur and is undergo- ing surgical repair. 1. Describe a compound fracture. 2. Give several reasons why it is important in this case to have immobilized the femur well before transporting J.R to the hospital. 3. Explain why there is an increased risk of osteomyelitis in this case. 4. Explain why there is severe pain with this type of fracture. The day after surgery J.R.'s toes are numb and cold. 5. Explain the possible causes of the cold, numb toes. 6. Explain why appropriate exercise is important during healing of the fracture. 7. List four factors that would promote healing of thi fracture. 8. Explain why the leg should be elevated during recovery 9. Explain why, following the removal of the cast, J.R. can expect to feel some weakness and stiffness in the

Answer 1

Answer :

1) Compound fracture :

Definition : a compound fracture is a broken bone fragments lacerate soft tissue and protrude through an open wound in the skin .

Causes :

• Car crashes
• Bad falls
• Sport injuries

Symptoms :

• Pain.
• Deformed appearance of affected limb
• Bone protruding through skin .
• Swelling
• Bruishing
• Tenderness

Treatment :

Emergency treatment : splinting the limb above and below the fracture .

Applying ice

Elevating the injured limb to reduce edema and pain.

2) answer :

There may be chances to dislocation ,so We should not mobilise the fractured site .

Immobilizations makes the open fractures heal properly .

3) this is the most common complication of compound fractures .

Compound fractures are open wounds and high risk For infection .

Infection is the result of bacteria entering the wound at the time of the injury and lead to osteomyelitis .

4) answer :

External fixation has severe pain to the patient .after surgical procedure ,the patient should not mobilise the leg ,so may feel numbness and cold

This may be due to anaesthesia effect also or decreased blood circulation may also lead to numbness and cold in this care.