Tuesday, January 6, 2009


Plaster of Paris

Intramedullary Nail

External fixator

Slide 3
The problems faced in the management of these fractures are:

1. The fractures are highly unstable. This renders techniques of Plaster of Paris not suitable.

2. Intramedullary nail techniques

This technique has lead to problems of anterior knee pain for patients who kneel down on a regular basis. The nail is a semi-rigid device and may lead to fracture displacement leading to malunion and even delayed union.

3. External Fixation

Pin tract infection and non union are possible complications of this method of treatment for this particular fracture.

4. Open insertion of plates

The soft tissue (skin) is tenuous. The skin will have difficulty in healing and may subsequently become infected.

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