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Chapter-114 Nonoperative Treatment of Fractures of Long Bones

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Taneja DK
ISBN
9789385891052
DOI
10.5005/jp/books/12869_115
Edition
3/e
Publishing Year
2016
Pages
7
Author Affiliations
1. 178, Anoop Nagar, Indore, Madhya Pradesh, 178, Anoop Nagar, Indore, Madhya Pradesh, India
Chapter keywords
nonoperative treatment, long bones, orthopedics, open reduction therapy, internal fixation, ORIF, brace, ankle brace, hip brace, wrist brace

Abstract

This chapter discusses nonoperative treatment of fractures of long bones. Fracture treatment has undergone full circle. It started with splints (Hippocrates and Sushruta) to Plaster of Paris immobilization (Mathysen), open reduction and internal fixation and rigid fixation by AO. The open reduction and internal fixation, though fascinating, has many disadvantages. The usual complication of plaster application also occurs in brace treatment. The joints may develop swelling, ischemia, etc. But, the complications in brace treatment are particularly related to metal brace, like loosening, breaking and bending. The cast bracing treatment is an excellent method of treating fractures. Cast bracing treatment avoids the hazard of plaster disease in conservative and infection in surgical treatment.

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