After sustaining a fracture, a patient was treated by applying ...

[storky111]

After sustaining a fracture, a patient was treated by applying ice and a cast. After several weeks, the cast is removed and the patient is able to ambulate without difficulty. Which positive local factors influenced this patient's bone healing?
 
  Select all that apply.
  1. immobilization
  2. timely correction of displacement
  3. application of ice
  4. delay in correction of displacement
  5. malnutrition

Question 2

Nonunion of a fractured tibia is seen in a patient after 8 weeks in a long leg cast. Which intervention may be necessary to encourage bone healing?
 
  1. removing the old cast and reapplying another
  2. placing the patient in Buck's traction
  3. surgical intervention with open reduction and internal fixation
  4. bone debridement

[chereeb]

Answer to Question 1

Correct Answer: 1, 2, 3

The patient was immediately treated with ice and immobilized in a long leg cast. These are all positive local factors that influenced bone healing. There was no delay in treatment and bone healing occurred within the expected time frame. There is no indication the patient was malnourished.

Answer to Question 2

Correct Answer: 3

With nonunion, the patient will have persistent pain and movement at the fracture site. The site will need to be realigned and held in place with plates and screws to maintain the alignment. Buck's traction is not indicated. Removing the cast and applying a new one would not help a patient with a nonunion fracture. There is no evidence that the bone needs to be debrided.

[storky111]

Correct answers!

[chereeb]

Great! Please up vote