Author Question: A 70-year-old male patient has a fracture of the right hip from a motor vehicle accident. The ... (Read 93 times)

lak · **on:** Jun 25, 2018

A 70-year-old male patient has a fracture of the right hip from a motor vehicle accident. The orthopedic surgeon decides to perform surgery to correct the fracture to prevent complications and allow early rehabilitation.

Which type of surgery and stabilization will be performed on this patient? Refer to the figure.

1. external fixation
2. open reduction and internal fixation
3. total right hip arthroplasty
4. hip arthroscopy

Question 2

The patient has a fracture of the right tibia and fibula. The orthopedic surgeon decides to surgically correct the fractures with the device in the figure. What type of device is being used?

1. internal fixation device
2. external fixation device
3. Buck's traction
4. wiring

vboyd24 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

Hip fractures in older patients are almost always repaired with an open reduction and internal fixation to prevent complications and allow early rehabilitation. The surgeon will implant surgical plates and screws to stabilize the bone and promote remodeling. External fixation would not be indicated for a hip fracture. A total right hip arthroplasty is not indicated for a hip fracture because the total hip would not need to be replaced. An arthroscopy is diagnostic, with repairs done after diagnosis, but would not be indicated for a hip fracture.

Answer to Question 2

Correct Answer: 2

In external fixation, pins are placed through the bone above and below the fracture site to immobilize the bone. The external fixation rods hold the pins in place. Internal fixation devices involve a surgical incision with the placement of plates and screws. The incision is then closed and the devices are not visible externally. Buck's traction is a traction device used for fractured hips. Wiring is not a surgical procedure.