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Gustilo Open Fracture Classification
The Gustilo open fracture classification system is the most commonly used classification system for open fractures. It was created by Ramón Gustilo and Anderson, and then further expanded by Gustilo, Mendoza, and Williams. This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to 3C implies a higher degree of energy involved in the injury, higher soft tissue and bone damage and higher potential for complications. It is important to recognize that a Gustilo score of grade 3C implies vascular injury as well as bone and connective-tissue damage. Classification Reliability There are many discussions regarding the inter-observer reliability of this classification system. Different studies have shown inter-observer reliability of approximately 60% (ranging from 42% to 92%), representing poor-to-moderate agreement of scale grading between health-care professionals. T ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Open Fracture
An open fracture, also called a compound fracture, is a type of bone fracture (broken bone) that has an open wound in the skin near the fractured bone. The skin wound is usually caused by the bone breaking through the surface of the skin. An open fracture can be life threatening or limb-threatening (person may be at risk of losing a limb) due to the risk of a deep infection and/or bleeding. Open fractures are often caused by high energy trauma such as road traffic accidents and are associated with a high degree of damage to the bone and nearby soft tissue. Other potential complications include nerve damage or impaired bone healing, including malunion or nonunion. The severity of open fractures can vary. For diagnosing and classifying open fractures, Gustilo-Anderson open fracture classification is the most commonly used method. This classification system can also be used to guide treatment, and to predict clinical outcomes. Advanced trauma life support is the first line of action in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Gunshot
A gunshot is a single discharge of a gun, typically a man-portable firearm, producing a visible flash, a powerful and loud shockwave and often chemical gunshot residue. The term can also refer to a ballistic wound caused by such a discharge. Multiple discharges of one or more firearms are referred to as gunfire. The word can connote either the sound of a gun firing, the projectiles that were fired, or both. For example, the statement "gunfire came from the next street" could either mean the sound of discharge, or it could mean the bullets that were discharged. It is better to be a bit more specific while writing however. "The sound of gunfire" or "we came under gunfire" would be more descriptive and prevent confusion. In the latter phrase, in particular, "fire" is used more (i.e. "under fire"), as both words hold the same general meaning within the proper context. Gunfire characteristics There are three primary attributes that characterize gunfire and hence enable the d ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Prognosis
Prognosis ( Greek: πρόγνωσις "fore-knowing, foreseeing"; : prognoses) is a medical term for predicting the likelihood or expected development of a disease, including whether the signs and symptoms will improve or worsen (and how quickly) or remain stable over time; expectations of quality of life, such as the ability to carry out daily activities; the potential for complications and associated health issues; and the likelihood of survival (including life expectancy). A prognosis is made on the basis of the normal course of the diagnosed disease, the individual's physical and mental condition, the available treatments, and additional factors. A complete prognosis includes the expected duration, function, and description of the course of the disease, such as progressive decline, intermittent crisis, or sudden, unpredictable crisis. When applied to large statistical populations, prognostic estimates can be very accurate: for example the statement "45% of patients with sever ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Shanmuganathan Rajasekaran
Shanmuganathan Rajasekaran (S. Rajasekaran) is an Indian Orthopedic Spine Surgeon. He is known for his work in spine tuberculosis, spine deformity corrections, and disc research. He is the chairman of the department of orthopaedics & trauma and spine surgery division of Ganga Medical Centre and Hospitals, Coimbatore. Rajasekaran was the Hunterian Professor and Honorary Fellow of the Royal College of Surgeons of England. Professional Leadership Rajasekeran was the past international chair of AO Spine, past chair of the international research commission of AO spi Cervical Spine Research Society (CSRS) and the immediate past president of Asia Pacific Spine Society. and former president of SICOT. Nationally, he has been the past president of Indian Orthopaedic Association and thAssociation of spine surgeons of India Early life and education Shanmuganathan Rajasekaran was born on 30 June 1958. He completed studies at Coimbatore Medical College. He completed a Master of Surge ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Internal Fixation
Internal fixation is an Surgery, operation in orthopedics that involves the surgical implementation of Implant (medicine), implants for the purpose of repairing a bone, a concept that dates to the mid-nineteenth century and was made applicable for routine treatment in the mid-twentieth century. An internal fixator may be made of Surgical stainless steel, stainless steel, titanium alloy, or cobalt-chrome alloy. Types of internal fixators include: * Orthopedic plates, Plate and screws * Kirschner wires * Intramedullary rod, Intramedullary nails Open reduction Open reduction internal fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. ''Open Reduction (orthopedic surgery), reduction'' refers to open surgery to set bones, as is necessary for some fractures. ''Internal fixation'' refers to fixation of screws and/or plates, intramedullary rods and other devices to enable or facilitate ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Osteomyelitis
Osteomyelitis (OM) is the infectious inflammation of bone marrow. Symptoms may include pain in a specific bone with overlying redness, fever, and weakness. The feet, spine, and hips are the most commonly involved bones in adults. The cause is usually a bacterial infection, but rarely can be a fungal infection. It may occur by spread from the blood or from surrounding tissue. Risks for developing osteomyelitis include diabetes, intravenous drug use, prior splenectomy, removal of the spleen, and trauma to the area. Diagnosis is typically suspected based on symptoms and basic laboratory tests as C-reactive protein and erythrocyte sedimentation rate. This is because plain radiographs are unremarkable in the first few days following acute infection. Diagnosis is further confirmed by blood tests, medical imaging, or bone biopsy. Treatment of bacterial osteomyelitis often involves both antimicrobials and surgery. Treatment outcomes of bacterial osteomyelitis are generally good when t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Therapeutic Irrigation
In medicine, therapeutic irrigation or lavage ( or ) is cleaning or rinsing. Types Specific types include: * Antral lavage * Antiseptic lavage * Bronchoalveolar lavage * Whole lung lavage * Gastric lavage * Peritoneal lavage * Arthroscopic lavage * Ductal lavage * Nasal irrigation * Ear lavage * Pulsed lavage - delivery of an irrigant (usually normal saline) under direct pressure that is produced by an electrically powered device, useful in cleaning e.g. chronic wounds. See also * Douche * Ear picking * Enema * Hematopoietic stem cell transplantation * Life extension * Regenerative medicine * Teeth cleaning Teeth cleaning is part of oral hygiene and involves the removal of dental plaque from Human tooth, teeth with the intention of preventing Dental caries, cavities (dental caries), gingivitis, and periodontal disease. People routinely clean their ... References {{Medicine-stub Medical treatments ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Debridement
Debridement is the medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue. Removal may be surgical, mechanical, chemical, autolytic (self-digestion), or by maggot therapy. In podiatry, practitioners such as chiropodists, podiatrists and foot health practitioners remove conditions such as calluses and verrucas. Debridement is an important part of the healing process for burns and other serious wounds; it is also used for treating some kinds of snake and spider bites. Sometimes the boundaries of the problem tissue may not be clearly defined. For example, when excising a tumor, there may be micrometastases along the edges of the tumor that are too small to be detected, but if not removed, could cause a relapse. In such circumstances, a surgeon may opt to debride a portion of the surrounding healthy tissue to ensure that the tumor is completely removed. Types There is a lack of high-quality evidence to c ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tscherne Classification
The Tscherne classification is a system of categorization of soft tissue Soft tissue connective tissue, connects and surrounds or supports internal organs and bones, and includes muscle, tendons, ligaments, Adipose tissue, fat, fibrous tissue, Lymphatic vessel, lymph and blood vessels, fasciae, and synovial membranes.� ... injuries. Classification Reliability The intraobserver (observations at two different times by the same person) agreement for Tscherne classification is 85%; while for inter-observer agreement is 65%. History This classification system was developed by Harald Tscherne and Hans-Jörg Oestern in 1982 at the Hannover Medical School (Hanover, Germany) to classify both open and closed fractures. This classification system is based on the physiological concept that the higher the kinetic energy imparted on the bone, the higher the kinetic energy imparted on the soft tissue. It also serves as a tool to guide management and to predict clinical outcomes. It also se ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Bone Fractures
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Most bone fractures require urgent medical attention to prevent further injury. Signs and symptoms Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain mult ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
