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Complications Of Fracture
Early Complications:
Early Local Complications:
- Vascular injury which cause internal or external haemorrhage
- Visceral injury :- Fracture of skull, ribs, or pubis may cause injury to brain, lungs or bladder respectively
- Damage to nerves
- Damage to surrounding tissue
- Haemarthrosis.
- Compartment symdrome or Volkmann's ischemia
- Wound infection, more common in open fractures
Early Systemic Complications
- Fat embolism
- Shock
- Thromboembolism (pulmonary or venous)
- Exacerbation of underlying diseases such as diabetes or coronary artery disease
- Pneumonia
Late Complications:
Local late Complications
- Delayed Union
- Non- Union
- Mal-Union
- Joint stiffness
- Contractures
- Myositis ossificans
- Avascular necrosis
- Algodystrophy
- Osteomyelitis
- Growth disturbance or deformity
Systemic Late Complications
- Gangrene
- Tetanus
- septicemia
Iatrogenic Complications
Iatrogenic complications result from therapeutic interventions
Complications due to Casts:
- Compartment syndrome
- Pressure ulcers
- Burns due to Plaster hardening
- Thrombophlebitis
Traction Complications
Traction prevents patient mobilizing causing additional muscle wasting and weakness
Other complications:
- Pressure ulcers
- Pneumonia/ UTIs
- Permanent foot drop contractures
- Peroneal nerve palsy
- Pin tract infection
- Thromboembolism
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