What are the various grades of open fractures and how are each of these defined?
What is the first line antibiotic used for open fractures? When should they be started after wounding? How long should they be administered?
What is the reason to cover the open wound initially?
Describe care of the wound associated with an open fracture.
When is the proper time to culture the wound?
Describe management of grade IIIa & b fractures.
List all of the Salter classification of fractures.
How are fractures described? What are 2 reasons to describe a fracture?
List 4 configurations of fractures.
What is the difference between a short oblique versus a transverse fracture.
What are descriptors of fracture location?
How is displacement described?
Why is the type of a ballistic important? How is the energy of a ballistic calculated?
What are the four “A’s” for assessing a fracture after repair?
List rules for use of cerclage wire. Why shouldn’t only 1 cerclage wire be used? List 2 types of cerclage wire.
Describe tension band repair. How many pins should be used? How far away from the fracture line should the the hole be drilled in the bone? What is cold working? What is the effect if notching the wire?
List 6 mistakes of tension band application.
What size of IM pin size in the area of the fracture? Is normograde or retrograde placement used when possible? How far should the pin be seated? If the pin is used with plates, how large should the pin be? Does stack pinning neutralize torsional forces?
What orientation should a lag screws be placed relative to the fracture line.
How is the size of a screw determined so that the bone is not weakened? How many cortices on each fragment proximally and distally?
What measurement of the screw determines its size? What is screw pitch? Core diameter? How does the core diameter affect the moment of inertia? How many cutting flutes should a self tapping screw have? What is the proper shape of a screw thread
Memorize the screw chart.
How does a DCP plate work?
What is pre-stressing a plate and why is this done?
What are the differences of locking versus nonlocking DCP’s?
