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Mu2 - Characteristics for external coaptation (External Coaptation (Cheap…
Mu2 - Characteristics for external coaptation
Emergency Support
Upper limb
Cage rest
Lower limb
Robert-Jones Dressing
Fractures painful
Movement
USe appropriate analgesic
Immobilisation of fracture is best
Conservative management
Forced rest
Immobilisation
Cage rest
Pelvic fractures
Some pathological fractures
Support if feasible
Lower limb fractures
External Coaptation
Casts & splints
Cheap & easy
Intensive
Regular revisits
Cast changes necessary
Complications
Soft tissue sores
Muscular atrophy
Join stiffness
Immobilise joint above & below the fracture
Limits use of elbow and stifle
Resists bending angulaiton
Transvrse/Short oblique fractures
Stable once reduced
Reduction before application
Use when expect rapid healing
Ueful as adjunctive support to tenuous internal fixation
Advantages
Ultimate biological fixation
Preservation soft tissue & blood supply
Quick
Dont need much invetory
Might be cheap
Disadvantages
Heavy maintenance
Fracture disease
Muscle atrophy
Joint stiffness
Osteopaenia