Thursday, 1 June 2017

image Q. 48 - Back to bag

Q.  ' bag of bones' is term associated with which of these?

a. autologous bone grafts
b. artificial bone substitutes
c. comminution fracture
d. severely crushed limb




































































































Answer -
c
Highly comminuted fractures that are not suitable for internal fixation as there are numerous small comminuted fracture pieces and difficult to manage with implants. These are managed with conservative method involving plaster support in  'as it is' manner which is called bag of bones'.

The method has been mostly described with respect to fractures of distal humerus.

The method usually is reserved for cases not fit for surgery due to comorbidities.

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