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We're gonna talk about some trauma scenarios here for there for the rest of the evening. First Dr. and all y'all thank you very much for the invitation back and for your attention. We talked about some basic principles of fracture management. The whole purpose of this talk is to help you communicate with us so we can manage our patients better. You know this is certain language we use from the weight bearing restrictions to the description of fractures but it's really not that hard. For example we're going to talk a little bit about some patterns or fractures so just looking quickly at this how would you describe this pattern. Does it look like a spiral pattern transverse or what fracture maybe you don't see it. Let's put on a third grade Thinking Hats. Literally it's that simple. So we call this a spiral fracture when we go a little bit further. This is a transverse fracture. Yes. If I had crowns my talk would be made out of crowns but it's it is a little bit more intelligent than this is a common neuter fracture of the lower tibia. So first thing we asked for is just communication so that your doctors call on us and say okay we have a closed fracture. We have an open fracture and a v bone and then some description. This is a shaft fracture of the femur. And is this. What is this. Is this a radio shaft fracture. Is this a fracture the proximate humerus. Was this a fracture of the distal radius location right. So yes just a radius. It's that simple. Why does this matter though. Because if you take the fracture pattern and you add that with the bone quality the host the mechanism of injury within that directs our treatment. So what we're going to do for that patient. Because then what we do directs the weight bearing status directs the what the rehabilitation specialists can cannot do for us and all that matters because that affects the patient's long term outcomes and that's really what it's all about. All right. So we've figured out what the fracture looks like. Now we're gonna go ahead and stabilize a fracture. This is where the real science comes in two ways bone heals. She put the two edges of bone together and you can hold them you can squeeze them together the bones communicate. They have cutting cones and you can actually recreate where the bone forms and heals very similar to the contour and shape of it was prior to the injury. Often you know when you put two pieces of tile together there's always a little bit of grout. Well there's always a little bit of that but with primary bone healing and limits that the most. This is important because articular injuries you don't want your joints to be anything except smooth and it's very rigid fixation which allows for that. For example this distal tibia we saw earlier you want this anatomic and you want the cartilage to be preserved so it undergoes fixation primary bone healing and hopeful the patient goes on without any long term arthritis. Secondary bone healing. This is a little different. This is a lot of casting. So a lot of rods you're not trying to worry so much about all the little pieces you want the overall alignment. This is something we do along with shaft fractures. It's still very important to still. It's probably equally as common as the other methods. The fixation is not as stiff the bone that has fractured has leaked some bone marrow that bone marrow becomes a callous. And that's a secondary way of bone healing that's a rush. You see that all the time so you can see that big oval area that's all callus but that's not in the joint. The patient's going to do fine he or she will never see that. Florida Orthopaedic Institute brings highly skilled orthopedic care to Tampa Bay and the surrounding area by offering virtually unmatched expertise in every orthopedic subspecialty. Our physicians are known nationally and throughout the world for their work in orthopedic surgery and have been named among the best orthopedic physicians in America. As Florida’s largest orthopedic group, our mission is to provide an internationally recognized level of orthopedic care, achieving exceptional outcomes through continuing research and specialty expertise. Florida Orthopaedic Institute is supported by a professional staff of more than 500 people, based in a 100,000 sq. ft. facility on a 12-acre campus. The main campus includes a state-of-the-art orthopedic surgery center that serves patients and surgeons. With exceptional expertise in every orthopedic specialty, Florida Orthopaedic Institute is literally a one-stop shop for orthopedic care, with no need to refer patients outside the institute. Website: http://floridaortho.com Facebook: / florida.orthopaedic.institute LinkedIn: https://www.linkedin.com/company/flor...