FRACTURES & AMPUTATIONS FINAL SCRIPT
2026 TRAUMA CARE QUESTIONS
ANSWERS COMPLETE A+
◉ Two-point gait
Answer: One crutch and opposite extremity move together followed
by opposite crutch and extremity
◉ Three-point gait
Answer: move two crutches and bad leg together
◉ Four-point gait
Answer: rIshtar crutch advanced, then left foot, then left crutch, and
then right foot.
◉ swing-to gait
Answer: both crutches are advanced together and then both legs are
lifted and placed down again on a spot behind the crutches.
* the feet and crutches form a tripod*
◉ Swing-through gait
, Answer: Both crutches are advanced together and then both legs are
lifted through and beyond crutches and placed down again at one
point in front of crutches.
◉ Tips for positioning
Answer: -Cervical:
before treatment: with patient in supine, immobilize neck with
sandbags or Philadelphia collar if patient must be turned, be sure
that head and neck alignment is maintained.
-Thoracic spine: position of comfort
-Lumbar spine: avoid high sitting positions, logroll
-Pelvis:
stable fracture or after fixation: turn to side opposite fracture.
Unstable: do not turn
-Hip:
before surgical treatment: turn toward fracture (avoid dislocation or
further displacement of fragments) with pillow between legs.
Postoperatively: turn away from fracture until comfortable enough
to turn on operative side with pillows between legs.
2026 TRAUMA CARE QUESTIONS
ANSWERS COMPLETE A+
◉ Two-point gait
Answer: One crutch and opposite extremity move together followed
by opposite crutch and extremity
◉ Three-point gait
Answer: move two crutches and bad leg together
◉ Four-point gait
Answer: rIshtar crutch advanced, then left foot, then left crutch, and
then right foot.
◉ swing-to gait
Answer: both crutches are advanced together and then both legs are
lifted and placed down again on a spot behind the crutches.
* the feet and crutches form a tripod*
◉ Swing-through gait
, Answer: Both crutches are advanced together and then both legs are
lifted through and beyond crutches and placed down again at one
point in front of crutches.
◉ Tips for positioning
Answer: -Cervical:
before treatment: with patient in supine, immobilize neck with
sandbags or Philadelphia collar if patient must be turned, be sure
that head and neck alignment is maintained.
-Thoracic spine: position of comfort
-Lumbar spine: avoid high sitting positions, logroll
-Pelvis:
stable fracture or after fixation: turn to side opposite fracture.
Unstable: do not turn
-Hip:
before surgical treatment: turn toward fracture (avoid dislocation or
further displacement of fragments) with pillow between legs.
Postoperatively: turn away from fracture until comfortable enough
to turn on operative side with pillows between legs.
