Question

ellenor is a 65 year old woman who was admitted to the hospital for a total hip arthroplasty. her primary diagnosis is osteoporosis. she states she was walking with her walker down the the hallway and just fell.

1) what type of fracture is she most likely to have suffered?

2) describe the routine draping f procedure for this case.

3)osteomyelitis is a grave concern; what may be down right after draping, and why?

4.)after the femoral osteoporosis guide is placed over the lateral femur and neck,what should the surgical technologist plan to do next?

5. describe the immediate postoperative care the patient will receive.

Leroy was admitted to the emergency department with a simple transverse fracture of the left tibia and fibula. the fracture was reduced, the leg placed in a cast, and Leroy was sent home

1?why are cast placed on limbs to reduce fractures?

2.what is the most important factor in bone healing?

Answer 1

1. Comminuted fracture

2. The procedure of covering a patient and surrounding areas with a sterile barrier to create and maintain a sterile field during a surgical procedure is called draping.

The purpose of draping is to eliminate the passage of microorganisms between nonsterile and sterile areas. Draping materials may be disposable or nondisposable. Disposable drapes are generally paper or plastic or a combination and may or may not be absorbent. Nondisposable drapes are usually double-thickness muslin. Drapes, of course, must be sterile.

(1) The first step in draping is the placing of a drape sheet from the foot to the knees. The scrub will select the sheet and hand one end to the surgeon across the operating table, supporting the folds, keeping it high, and holding it taut until it is opened, then drop it (open fingers and release sheet). The second drape sheet is handled in the same manner. This sheet is placed below the incision site with the edge of the sheet just below the incision site. This draping sheet provides extra thickness of material under the area from the Mayo tray to the incision where instruments and sponges are placed. It also closes some of the opening in the laparotomy sheet, if necessary.

(2) When disposable drapes are used, the towels usually have a removable strip with an adhesive on the folded edge. The third step in draping is placing the four sterile towels around the line of incision. The scrub unfolds first towel, passes the towel drape to the surgeon with the strip side facing the scrub, and then removes the adhesive strip. The surgeon places the towel within the scrubbed area on the near side of the line of incision, leaving only enough exposed skin for the incision. The second towel is placed in the same way, except the towel is placed on the lower side (toward feet) of the line of incision. The third towel is passed the same way, except the towel is placed on the upper side (toward head) the line of incision. The last towel is passed to the surgeon with the adhesive strip facing the surgeon and is placed on the far side of the line of incision. The adhesive area holds the towel drapes in place.

5. To help manage discomfort or pain after your surgery take your pain medicine as instructed by your surgeon. rest between activities as needed lie down and put cold packs around your surgical hip at least three times a day; see the home exercise program page for more instructions.

Typically, a surgeon will okay a patient's discharge once pain is under control and the patient is able to: Get in and out of bed and walk short distances (typically 150 to 300 feet) with the aid of assistive devices, such as a walker or crutches. Eat meals sitting up. Perform simple exercises.

1.Casts and splints are orthopedic devices that are used to protect and support fractured or injured bones and joints. They help to immobilize the injured limb to keep the bone in placeuntil it fully heals. Reduction is a surgical procedure to repair afracture or dislocation to the correct alignment.

2.The most important factors in fracture healing are blood supply and soft-tissue health, and initial management of an injured limb should have the goal of maintaining or improving these.