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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Basic Science
intermediate
X-Type

Fracture Fixation Principles

Fracture Management

A registrar is reviewing the principles of fracture fixation before an upcoming FRACS Part I examination. The consultant asks about the biomechanical principles underlying different fixation strategies and when each should be applied. The discussion covers compression plating, bridge plating, locked plating, and intramedullary nailing. Regarding fracture fixation principles:

Mark each as TRUE or FALSE

A

Absolute stability (interfragmentary strain less than 2%) promotes primary bone healing (direct cort...

B

Relative stability (strain 2-10%) promotes secondary bone healing through callus formation; achieved...

C

Absolute stability is indicated for all comminuted fractures; callus formation indicates primary bon...

D

Locking plates: screws lock into the plate creating a fixed-angle construct that functions as an "in...

E

Intramedullary nails: load-sharing devices that splint the fracture while allowing controlled microm...

Answer the questions to see explanations

Click T (True) or F (False) for each option