‫‪Ortho Instruments‬‬

‫‪Group B‬‬
‫سنة خامسة‬

‫إعداد الطالبة ‪ /‬يسرى الحاللي‬

Fracture treatment
A. Conservative
1. POP ( Plaster Of Paris )
Made of semihydrated calcium
sulphate
TYPES:
- Circular Cast

- Back Slap
 FUNCTION:
1. Immoblization
2. To relief pain and prevent shock
3. To prevent neurovascular injury
4. To prevent displacement &
angulation
5. Used in emergency

Advantages ( cheap – available )

Disadvantages ( dirty – radio
opaque – heavy – ugly – water
absorbable )
 2. Fiberglass

Advantages: ( clean – light –

radiolucent – non water absorbable )
3. Skin traction
Indication: For children – less
than 3 kg pt.
B. Operative
*Indication: 1. Open fr.
2. Intrarticular fr.
3. Multiple fr.
4. Failure of
conservative
5 Pathological
6 Complications
7 Compartment Syn.
- Skeletal Traction ( Steinmann Pins)
Used in L.L fr.
 INTERNAL FIXATION
- Kirschner wire
Used in phalanges
Small fragments
Supra condylar fr.
Skeletal traction
Ilizarov fixation
- INTRA-MEDULLARY
- Flexable:
1. Ender nail
For intertrochantric fr. In old age
1. Rush nail
Used for proximal, middle, and
distal humerous fr. for limitation of
movment
2. Cluster nail
Used in children

3. Nancy nails
- Rigid:
1. Kuntscher nail
Used for long bone
Mid shaft fr. Of femure,
tibia
not used in segmented fr.
Has three edges for stability
Complication: infection – injury
– migration - angulation
 *Hook for holding and removal
of kuntscher nail

2. Interlocking nail with screws

Used for segmental or
commnuted fr.
More stable
Prevent rotation
Tibial interlocking nail
EXTRA-MEDULLARY FIXATION
PLATES
1. Classic plate

2. Dynamic compressed plate

For forearm fr.
3. T shape & L shape
Near joints
4. 95 angle plate

5. Semi tubular
In fibula, ulna, proximal radius
In humerous of children
SCREWS
1. DHS Dynamic Hip Screw
For intertrochantric fr.
Subtrochantric fr.
Basal neck fr.
2. Cortical screw
In cortical bones e plates ( femur
shaft)
3. Cancellous spongy screw
Femure neck , proximal tibia ,
distal femur
4. Schunz pins
For ext. fixation
EXTERNAL FIXATION
A. CLASSIC STATIC

B. DYNAMIC
ILIZAROV
HOFFMAN
Hip Prothesis
A. Partial : acetabulum is
intact

Indicated for neck femure fr. In

elderly pt.
- Bipolar hip prosthesis
To prevent friction of
acetabulum or penetration of
femoral head
B. Total : acetabulum is
affected e.g
osteoartharitis
OTHER INSTURMENTS

Allis tissue forceps

Babcock forceps
To grasp delicate tissue
Cissors
Fenestrated forceps

Kocher forceps
Knife holder
Needle holder

- *‫*بالتوفيق‬