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2. Splinting


                   •  Purpose: Provides temporary or semi-rigid immobilization, often used in the acute injury
                       phase to allow for swelling.
                   •  Materials: Prefabricated or custom-molded thermoplastic, fiberglass, or plaster splints.
                   •  Application:
                          o  The splint is applied with soft padding to accommodate swelling.
                          o  Elastic bandages secure the splint while allowing some adjustability.
                   •  Advantages:
                          o  Allows for swelling and reduces the risk of compartment syndrome.
                          o  Easier to remove and adjust compared to casts.
                   •  Common Uses:
                          o  Initial treatment before definitive casting.
                          o  Immobilization for stable fractures and soft tissue injuries.

               3. Bracing


                   •  Purpose: Provides functional support for fractures while allowing controlled movement.
                   •  Materials: Hard plastic, carbon fiber, or metal-reinforced structures.
                   •  Application:
                          o  Used for fractures that require stabilization but benefit from early motion.
                          o  Often used for stress fractures, minor fractures, or post-cast treatment.
                   •  Advantages:
                          o  Allows controlled weight-bearing and mobility.
                          o  Can be removed for hygiene and rehabilitation exercises.
                   •  Common Uses:
                          o  Tibial stress fractures.
                          o  Clavicle fractures.
                          o  Post-operative stabilization.

               4. External Fixation


                   •  Purpose: Stabilizes complex or open fractures when internal fixation is not feasible.
                   •  Materials: Metal rods, pins, screws, and external frames.
                   •  Application:
                          o  Pins are inserted into the bone above and below the fracture site.
                          o  An external frame stabilizes the fracture while allowing soft tissue management.
                   •  Advantages:
                          o  Effective for open fractures or fractures with significant soft tissue damage.
                          o  Allows for soft tissue monitoring and wound care.
                   •  Complications to Monitor:
                          o  Pin tract infections.
                          o  Loosening of fixation elements.
                          o  Delayed union or nonunion.
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