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Osteomyelitis
Hematogenouscaused by bloodborne
Osteomyelitis
pathogens originating from infectious sites
within the body.Ex: sinus, ear, dental,
respiratory & GU infections. The infection
spreads from the bone to the soft tissues & can
eventually break through the skin, becoming a
draining fistula. Again, Staph aureus is the
most common causative organism.
Acute Osteomyelitis left untreated or
unresolved after 10 days is considered chronic.
Necrotic bone is the distinguishing feature of
chronic osteomyelitis.
Osteomyelitis
Osteomyelitis
Ewings Tumor
sarcoma- of
A malignant
tumor of the
the MSS
bone originating from myeloblasts with early
metastases to lung, lymph nodes, & other bones.
Usually located on the shaft of the long bones.
Femur, tibia, & humerus are common sites.
Poor prognosis. Common in person> 40 years old.
Affect males more than females.
Pain increased with weight bearing. May complain
of weight loss, malaise, or anorexia.
Causes pathologic fractures.
Treatment: Palliative, radiation, chemotherapy.
Chondrosarcomaaffects persons
Tumor ofUsually
the MSS
50-70 years old. Accounts for 20% of all bone
tumors
Affect males than females.
Slow growing, insidious onset. Most common in
humerus, femur, pelvis.
Localized pain, swelling. May have palpable
mass. Severe, persistent pain. May infiltrate
joint space & soft tissue & metastasize to the
lungs.
Treatment: Surgical incision, amputation.
Fibrosarcoma- Usually affects persons 3050 years old. Affects females than males.
Occurs in bony fibrous tissue of femur & tibia.
Accounts for 4% of primary malignant bone
tumors.
May result from radiation therapy, pagets
disease or chronic osteomyelitis.
Night pain, swelling, possible palpable mass.
May cause pathologic fractures.
May metastasize to the lungs.
Fractures
Fractures (types)
Fractures (types)
Traction
Traction
Traction(Principles)
Cast Care
Cast Care
Cast (complications)
Cast (complication)
Fractures (Complications)
Fractures (Complications)
Fractures (Complications)
HIP fractures
HIP fractures
HIP fractures
HIP fractures
Total Knee
Replacement
Hemovac
is inserted to drain excessive
blood and drainage. Maintain accurate
I/O. Observe for hemorrhage & infection.
Instruct client for crutch walking.
Complications: wound infection, DVT,
Pulmonary and fat embolism, dislocation
of the prosthesis.
Amputations
Amputations (types)
Amputations (Assessment)
Amputations
Amputations