Basics of Fracture and its Management MCQs

Answer- C. Tibia Most common bones for which intramedullary nailing is done are Tibia and femur.

Answer- A. Pseudomonas staphylococcus aureus was the most common organism causing infection in open fractures. More recent studies have shown that gram negative organisms such as pseudomonas aeruginosa and E.coli are becoming more common

Tension band wiring is indicated in the treatment of two types of olecranon fracture. First type is a clean break with separation of the fragments, and second type is comminuted fracture of the olecranon with displced fragments. A crack in the olecranon without displacement is treated by immobilising the elbow in an above elbow plaster slab in 30 degrees of flexion.

From the history, patient has stress fracture. Stress fractures are generally managed conservatively with cast immobilization. Exception is stress fracture of neck of femur, which might require surgical fixation. Reference: Rockwood and green adult fracture 8ᵗʰ edition, page-668

Rush pin is used for pediatric diaphyseal fracture fixation. All other devices are used for giving traction. Reference- Rockwood and Green’s adult fracture 8ᵗʰ edition, page-214

In pediatric patients generally managed conservatively so option a, c, d are not true. And for open fracture debridement is more important. Reference- Rockwood and green's pediatric fracture 8ᵗʰ edition, page-124

Fracture healing is of two types. Direct and indirect bone healing. Direct bone healing occurs without callus formation. Indirect healing occurs with callus formation. Reference- Rockwood and green’s adult fracture trauma 8ᵗʰ edition, page-198

Open fracture with improper soft tissue condition is an indication for external fixation. Infection is considered a contraindication for any kind of implant fixation Reference- AO trauma basic trauma manual- Principle of open fracture management and its complication