![]() Immediate treatment following an open fracture These variables give him critical information about your muscles, nerves, blood vessels, and skin, so he can treat all aspects of your injury. He evaluates your open fracture to determine the: ![]() King assesses your open fracture to determine its severity and help him develop the most appropriate treatment plan. Often, when open fractures occur, so do other injuries, so it’s important to have a thorough medical evaluation.ĭr. If you have severe injuries, call 911 and seek emergency medical care right away. Open fractures can occur after a simple fall, but they most frequently result from high-impact accidents, such as sports collisions, auto accidents, or violent altercations. Here, we take a closer look at the recovery process after an open fracture and what you can expect during the days following your injury, and the long-term effects you may face. Bryan King and our team of bone fracture experts have many years of experience treating open fractures and can help you heal properly and recover successfully should you ever experience this type of injury. This is called an open fracture, and in addition to being extremely painful, it calls for different treatment and different recovery protocols.Īt Tuscaloosa Orthopedic & Joint Institute in Tuscaloosa, Alabama, Dr. ![]() ![]() Sometimes, the force not only breaks the bone, it also pushes the broken end through your skin from the inside out. Depending on the amount of force and the position of your bone at impact, your bones can suffer any of several types of fractures. They can handle running and jumping, but they’re no match for a head-on car collision or a tackle on the gridiron. All rights reserved.Bones are pretty sturdy, but they’re not invincible. The impact on fractures on ambulatory capacity should be closely monitored. Further investigation is required to understand preventative strategies and modifiable risk factors to reduce the incidence of fractures in DMD. DiscussionĪ high fracture burden was observed in a large Australian cohort of boys with DMD. Boys with a history of fracture(s) had a steeper rate of functional decline (measured by NSAA score) than those with no recorded fractures. Vertebral fractures occurred in significantly older (12.28 vs 9.28 years) boys with longer exposure to glucocorticoids (5.45 vs 2.50 years) compared to non-vertebral fractures. The first fracture was vertebral in 55% 41% had non-vertebral fractures and 4% had both. At least one fracture occurred in 71(45%) boys overall incidence of fractures was 399-per-10,000 persons-years. Longitudinal analysis of function post-fracture was also conducted. Factors associated with first fracture risk were analysed with Cox-proportional hazards. Information regarding fractures, anthropometry measurements, body composition and functional assessment was collected. MethodsĪ retrospective cohort study included boys with DMD who attended a paediatric neuromuscular clinic from 2011-2018. This study investigated the incidence of fractures, factors contributing to risk of first fracture with emphasis on body-mass-index (BMI), and the impact of fractures on functional capacity in an Australian cohort of boys with DMD. Boys with Duchenne muscular dystrophy (DMD) are at increased risk of fracture.
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