1 The prothrombin or vitamin Kâdependent group includes factors II, VII, IX, and X. 2  The fibrinogen group includes factors I, V, VIII, and XIII. 3  They are the most labile of the factors and are consumed during the coagulation process.
It is important to classify the type of fracture, because some fractures are more difficult to treat than others. Intra-articular fractures, open fractures, comminuted fractures, and displaced fractures (when the broken pieces of bone do not line up straight).are more difficult to treat, for example. Sometimes, the other bone of the forearm (the ulna) is also broken. This is called a distal ulna fracture.
Non-operative treatment. Non-operative treatment of a non-displaced acute sesamoid stress fracture requires a period of immobilization and protected weight bearing. The goal is to manage weight bearing through the heel for a period of six to eight weeks, giving the sesamoid bones the best chance to heal properly. .