The Treatment of Fracture

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Handling principles include reduction of fracture, immobilisation and return to normal function and strength with rehabilitation.
1.Redaksi fracture, restore bone fragments in parallel and anatomical rotation. Closed reduction, traction or open reduction can be done to reduce the fracture. The method chosen depends on the nature of the underlying properties of similar fractures. Before reduction and immobilization of fracture patients should be prepared permits to do the procedure, analgesic and approval pursuant anaestesi.
2.Traksi, used to get the effect of reduction and immobilization, adjusted for the muscle spasms that occur.
3.Reduksi open, includes internal fixation device in the form of pins, wires, screws, nails or palat metal bars that can be to maintain the bone fragments in position.
4.Imobilisasi fracture, after the bone fragments must be reduced diimobisasi and maintained in the correct position and alignment until union occurred.

5.Immobilization can be performed with external fixation, such as plaster, dressing, splint, continuous traction, pins and plaster techniques or fiksator external and internal implant.

If a bone is broken then the surrounding soft tissue is also damaged, periostium separate from the bone and bleeding quite heavily. Blood clot formed in the area and blood clots will form the granulation tissue where the cells – the primitive bone-forming cells (osteogenik) berdeferensiasi become kondroblast and osteoblasts. Kondroblast will secrete that stimulates deposition of calcium phosphate.

Layer is formed thick (callus) met with a layer of callus from the other fragments and eventually converge. The fusion of the second fragment continues with the formation of trabeculae and osteoblasts attached to bone and extends across the fracture. Union (unions), this provisional bone metaplastik will undergo transformation to become stronger and more organized. Callus bone remodeling will experience where osteoblasts to form new bone while osteoklast will remove the damaged part sehungga eventually be formed bone resembling a state of the original bone. (Michael A. Carter).


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