Sterno-clavicular joint dislocation Acromio-clavicular joint dislocation Shoulder Dislocation Posterior: Inferior: Anterointernal: Clavicle fracture Upper extremity

of humerus fracture Isolated fractures of processes Extra articular fractures

Stable: Watson-jones 3-4 weeks Unstable: Kirschner wires folow by same before Stable: Watson-jones 2-3 weeks Unstable: Kirschner wires folow by same before Dessault 3 weeks reduction by extension Reduction hippocrates or Motthes Dessault 3-4 weeks Watson-Jones 3-4 weeks 3-4 weeks Dessault Undisplaced: Desault 3-4 weeks Displaced but stable: Bhler maneuver The rest: wires, screws

intra articular fractures Fracture-dislocation Fractures of Humeral shaft

Screws or Shoulder protesis Dessault 3-4 weeks Splint (shoulder to hand) 4-6 weeks In transversal fractures: plate and screws or Intra medulary nailing (Kntscher)

Lower humeral extremity Supracondylar Supra and inter condylar Splint or arm to hand orthesis for 4-6 weeks Undisplaced: conservatively Displaced: transversal screws and minimal Splint or orthesis and early rehab 3 weeks immobilization single screw followed by 2-3 weeks of splint immobilization 2-3 weeks immobilization in a 100 angle 2-3 weeks immobilization with splint above elbow level 2-3 weeks immobilization in a 100 angle 03-abr Undisplaced: 4 weeks inmobilization in arm to hand plaster splint (Elbow 90) Displaced: 4-5 weeks plaster inmobilization or plate/screws or intramedulary Shaft fractures of both radius and ulna Fractures of distal epiphysis of fracture Poutteau-Colles fracture Coyrand smith fracture Traumatism of carpal bones Scaphoid bone Semilunar bone Fractures of metacarpapl and phalanx Metacarpal Phalanx 4-6 weeks plaster or intramedulary 3-4 weeks immobilization Long term casting (10 weeks) emergency reposition within 5 hours and temporary fixation with 1-2 kirschner wire for 3-4 weeks Undisplaced: "V" plaster splint followed by cast for 30 days Displaced: Reduction under anestesia follow by V plaste for 4-10 days and then cast for 30 days Undisplaced: 2-3 weeks arm to hand plaster follow by 3 weeks of orthesis Displaced: plate and screws

Small fragment intra articular Small fragment extra articular Dislocation of both forearms bones Fractures of upper extremity of radius Fractures of upper extremity of Ulna Fractures radial ulnar shaft Isolated radial shaft fractures (galeazzi) Isolated ulnar shaft fractures (monteggia)

Postero superior hip dislocation Femoral neck fractures

Orthopedic reduction within 4-6 hours by bhler technique followed by3 weeks of continious traction Garden I and II: light osteosynthesis D.H.S Garden III: D.H.S Garden IV: prosthetic replacement of the head

Trochanteric area fractures Fremoral Shaft fractures Common middle shaft fracture

Surgical: D.H.S Conservative: continuous traction 4-6 weeks followed by 8-10 weeks of plaster casting including hip Surgical: intramedulary nail Surgical: screws for isolated condyle fracture and special blade/plate for suprainter condylar fractures Postoperative immboilization short but patient dont stepp sooner than 75 days

Fractures of lower extremity of femur Trauma of the knee Patelar bone dislocation Knee dislocation Knee twisting Patelar fracture Tibial upper extremity Tibial shaft fracture

Emergency reduction followed by plaster immobilization for 3 weeks reduction, surgery and 3 weeks of plaster immobilization surgical repair of the ligaments followed by 2-3 weeks of immboiliazation Surgical: 2 pins in "8 shape" and hip to ankle splint for 30 days Displaced fragments reduced and gaps filled with bone graft, transversal screw fixation .reduction followed by plaster immobilization for 60-75 days .Continuous traction 3-4 weeks, femur to toe plaster cast for 3-4 weeks and then 3-4 weeks of casting below the knee Conservative: first splint and then casting. Patient can not step before 45 days. Surgical: percutaneus kirschner Undisplaced: conservative 8-10 weeks plaster casting Displaced: screws conservative

Ankle fractures Talus fractures Calcaneus Anterior tarsal bones Scaphoid Cuboid and cuneiform Metatarsal and phalanx

conservative 30-45 days immobilization undisplaced: adhesive attachment to the next digit for 3-4 weeks displaced: K wires