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Created with Fabric.js 1.4.5 According to some studies, distal radial fractures account for of all emergency visits! Distal Radial Fractures An Advanced Casting Approach Distal Radial Fractures - An Advanced Casting Approach This is your healthy arm! Distal Radio-ulnar Joint A distal radial fracture is mostoften the result of a fall on an outstretched hand, or 'FOOSH' OUCH!! What's the Treatment? Usually Diagnosed by X-Ray Front View Side View 2.5% They are the types of fractures, accounting for about of fractures in the pediatric population and up to of all fractures inthe elderly age group! 18% 25% MOST COMMON Some patients will go straight to having a cast. Typical indications for surgery include the presence of an intra-articular or comminuted extra-articular fracture which cannot be adequately reduced,radial shortening of more than 5-10 mm which cannot be reduced and made stable using a closed approach, an open wound with significant soft tissueloss, or an accompanying ulnar shaft fracture. Some patients will undergo surgery first, and then be put in a splint or cast after. Three point casting technique involves the application of two points of contact on either side of the fracture which are applied on the side of the concavity of the initial angulation, and a counterpoint of contact at the fracture level on the convexity. A slight bend of the cast places the overlyingsoft tissue under tension, helping withreduction. It is likely to be adopted by the healthcare system because it is innovative, and has great health benefit. It may not be adopted by the healthcare system because it is not a Standard of Care in other health regions and because it will require training of healthcare providers. Will the Healthcare system adopt this? Complications of a Cast double click to changethis text! Drag a cornerto scale proportionally. - Thermal injury (i.e. burns) - the setting reaction is exothermic- Pressure sores from ridges formed during casting process- Loss of reduction from decreased swelling causing inadequate support- Compartment syndrome if cast is too tight- Skin irritation/infection may occur if the cast gets wet Proposed Solution 90% 10% The Biomedical Engineer's Role SONOMA "WRx" EVILL DESIGN "CORTEX" Current Industry and Innovation Elements of the cast:- Fabric -antimicrobial -moisture-wicking- Compartments -4 compartments - open cell design- Moisture channels & windows- Inflation & changingpressure TK, HC, JN, MT
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