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Basic fracture management in general practice
Journal article   Peer reviewed

Basic fracture management in general practice

John W Adie, Nigel Barr, Daevyd Rodda, Nicole Masters and Nicola Waterreus
Australian Journal of General Practice, Vol.54(11), pp.823-828
2025
PMID: 41187735

Abstract

fractures bone fractures general practice orthopedics urgent care fracture management
Background Fractures account for approximately 1% of patient presentations in general practice. Uncomplicated, low-risk fractures rarely require orthopaedic intervention and can be treated exclusively in primary care by the general practitioner (GPs). Objective The aim of this paper is to improve the skill set of GPs to enable them to manage low-risk fractures in the primary care setting. Discussion Three key factors underpin the safe development and deployment of a primary care fracture clinic (PCFC) in primary care practices: (1) understand fracture healing; (2) acquire a deep understanding of initial examination and management principles; and (3) have a referral network. The right referral network includes orthopaedic surgeons; allied health practitioners such as physiotherapists; and appropriate handouts. Additional considerations are having the right medical insurance; online and hard copy academic and clinical references; and adequate consumables.

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Primary Health Care

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