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This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to 3C implies a higher degree of energy involved in the injury, higher soft tissue and bone damage and higher potential for complications.
Open fracture with extensive soft-tissue loss and periosteal stripping and bone damage. Usually associated with massive contamination. [14] [15] Will often need further soft-tissue coverage procedure (i.e. free or rotational flap) IIIC: Open fracture associated with an arterial injury requiring repair, irrespective of degree of soft-tissue injury.
Davis's law is used in anatomy and physiology to describe how soft tissue models along imposed demands. It is similar to Wolff's law, which applies to osseous tissue. It is a physiological principle stating that soft tissue heal according to the manner in which they are mechanically stressed. [1]
Fr. C 0 - No or minor soft-tissue injury from a simple fracture due to indirect trauma I Fr. O 1 - Skin lacerated by bone fragment. No or minimal contusion to the skin Fr. C 1 - Superficial contusion or abrasion to the skin II Fr. O 2 - Skin laceration with circumferential skin or soft-tissue contusion and moderate contamination
A soft tissue injury is the damage of muscles, ligaments and tendons throughout the body. Common soft tissue injuries usually occur from a sprain, strain, a one-off blow resulting in a contusion or overuse of a particular part of the body. Soft tissue injuries can result in pain, swelling, bruising and loss of function. [1]
In uncomplicated lateral ankle sprains, swelling of the soft tissue can be prevented with compression around both malleoli, elevation of the injured ankle higher than the heart, and pain-free exercises. [19] An orthopedic walking boot is often used for the treatment of a sprained ankle injury. Braces and crutches are also used to help alleviate ...
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The fracture pattern of the condyles is variable and all types of fractures can occur. This is a high energy injury with a complex mechanism that includes varus and valgus forces. Up to 33% of these fractures may be open, often with extensive soft tissue injuries and risk of compartment syndrome. Represents 20% of all tibial plateau fractures.