Full Project – Conservative management of ankle injury using orthopedic cast

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CHAPTER ONE

                                     INTRODUCTION

• Background to the Study

Presently now cast was improved to various type and various packed for easy access.  Man is expending his ideas and thought. The least place manage  Neuromuscloskeletal disorders is Orthopaedic hospital where ankle fracture can be managed with cast to avoid risk of surgery. Orthopaedic health management centers are the best place to treat musculoskeletal disorder. Our concern is to discuss ankle fracture, which is a part in a human skeleton.

An ankle fracture is manage in the modern health care services i.e. Orthopaedic centers but due to misunderstanding, illiteracy and ignorance, sometimes poverty, patient may be taken to traditional bone setters which cause gangrene.

The use of casting methods in modern health care may reduce or eradicate the risk of negative effect of fracture management in the society, because POP can be used anywhere to manage ankle fracture even in the rural areas by cast technicians, Doctor, Nurses in the health centers.

Ankle injuries are defined by the kind of tissue — bone, ligament, or tendon — that’s damaged. The ankle is where three bones meet — the tibia and fibula of the lower leg with the talus of the foot. These bones are held together at the ankle joint by ligaments, which are strong elastic bands of connective tissue that keep the bones in place while allowing normal ankle motion. Tendons attach muscles to the bones to do the work of making the ankle and foot move, and help to keep the joints stable.

A fracture describes a break in one or more bones. A sprain is the term that describes damaged to ligaments when they are stretched beyond their normal range of motion. A ligamental sprain can range from many microscopic tears in the fibers that comprise the ligament to a complete tear or rupture. A strain refers to damage to muscles and tendons as a result of being pulled or stretched too far. Muscle and tendon strains are more common in the legs and lower back. In the ankle, there are two tendons that are often strained. These are the peroneal tendons, and they stabilize and protect the ankle. They can become inflamed as a result of overuse or trauma. Acute tendon tears result from a sudden trauma or force. The inflammation of a tendon is called tendinitis. Microscopic tendon tears that accumulate over time, because of being repeatedly over stretched, and don’t heal properly lead to a condition called tendinosis. Tendons can also rupture. Subluxation refers to a tendon that slips out of place.

• Statement of The Problem

The management of ankle injury using surgery has the potential to improve the lives of many patients however there are inherent risks that are involved with any surgical procedure.

The conservative management of ankle injury using orthopaedic cast can be achieved without risk or complication

• Objective of The Study

• The main aims of the study are to:
• To know the success of treatment of ankle injuries using orthopaedic cast in National Orthopaedic Hospital Dala-Kano
• To update the new finding of casting technology in the modern health care services.
• To present those fact – that an ankle fracture can be manage conservatively with casting method.

• To promote the socio – economy factor by reducing the number of amputee, handicap and disabled within our community.

• Significance of The Study

The study will contribute to the better understanding of best use of casting in the conservative management of fracture, dislocation over surgical intervention.

• Limitation of The Study

This research work would be restricted to National Orthopaedic Hospital Dala-Kano.

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Full Project – Conservative management of ankle injury using orthopedic cast