Basic fracture management in general practice

Abstract

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.