What is the primary goal of closed reduction in the treatment of fractures?
To surgically realign the fractured bone
To stabilize the fracture with internal fixation
To immobilize the fractured bone with a cast
To restore the fractured bone to its normal position without surgery
The Correct Answer is D
Closed reduction is a non-surgical procedure used to manually realign the fractured bone to its normal position without making an incision. It is often followed by cast immobilization or other forms of stabilization.
a. To surgically realign the fractured bone: Surgical realignment is typically performed through open reduction and internal fixation (ORIF), not closed reduction.
b. To stabilize the fracture with internal fixation: Internal fixation involves the use of screws, plates, or rods to stabilize fractures, and it is not part of the closed reduction procedure.
c. To immobilize the fractured bone with a cast: Immobilization with a cast may follow closed reduction, but it is not the primary goal of the reduction procedure itself.
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Related Questions
Correct Answer is A
Explanation
Nonunion occurs when the fractured bone fails to heal and fuse together despite appropriate treatment. It is associated with persistent pain and limited function.
b. Malunion: Malunion refers to a fracture that heals in an incorrect position or alignment, but it may or may not cause persistent pain and limited function.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal but eventually heals properly. It is not specifically associated with persistent pain and limited function.
d. Osteomyelitis: Osteomyelitis is a bone infection that can develop as a complication of fractures, but it may or may not cause persistent pain and limited function, depending on its severity and treatment response.
Correct Answer is B
Explanation
It is crucial for the patient to understand the importance of partial weight-bearing on the affected limb during the healing process. Partial weight-bearing helps promote bone healing and prevents excessive stress on the fracture site, reducing the risk of complications.
a. Encouraging immediate full weight-bearing on the affected limb can lead to further damage to the healing bone and may delay the healing process.
c. Advising the patient to avoid putting any weight on the affected limb can result in muscle atrophy, decreased circulation, and joint stiffness. Some weight-bearing is necessary for proper bone healing.
d. Instructing the patient to use assistive devices only during walking is not enough to ensure appropriate weight-bearing. The patient should follow specific weight-bearing restrictions as advised by the healthcare provider, even when using assistive devices.
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