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ID:11618946
大小:6.99 MB
页数:51页
时间:2018-07-13
《principles of fracture treatment:骨折的治疗原则》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、PrinciplesofFractureTreatmentDefinitionofFractureItisdisruptionofbonecontinuity.Althoughmostof#soccurasaresultofasingleepisodebyaforcepowerfulenoughtofractureanormalbone,thereare2typesof#inwhichthisisnotso:Pathologicalfract.Stressfract.Pathologicalfrac
2、ture:Itisoneinwhichaboneisbrokenthroughanareaweakenedbypre-existingdisease,&byadegreeofforcethatwouldhaveleftnormalboneintacte.gosteoporosis,O.M.,bonetumours.Stressfracture:Bone,likeothermaterials,reactstorepeatedloading.Onoccasion,itbecomesfatigued&ac
3、rackdevelopse.gmilitaryinstallations,balletdancers&athletes.DiagnosisClinicalpictureRadiographyClinicalFeaturesofFractureHistoryoftraumaSymptoms&signs:1.Pain&tenderness2.Swelling3.Deformity4.Crepitus5.Lossoffunction6.Abnormalmove.7.N.V.injuriesRadiogra
4、phicFindingsPlainx-ray:shouldshowjointabove&jointbelow,inatleast2views,specialviewsonrequest.C.T.MRI:Itisnothelpfulinfract.diagnosisotherthandelineatingassociatedinjuriestotheCNS,S.T.disruptionoroccasionallyfatiguefract.FractureClassificationAnat.Locat
5、ionDirectionoffract.LineWhertherthefract.IslinearorcomminutedConditionofoverlyingS.T.MechnismofinjuryAOclassificationAOClassificationA:Simplefract.B:Wedgefract.C:Complexfract.AOClassificationAOClassificationB=wedgefract.B3wedgefractfragmentedwedgeAOCla
6、ssificationOPENANDCLOSEDFRACTURESMechanismofInjuryClassificationDirecttraumaIndirectTraumaDirecttrauma:TappingfracturesCrushingfracturesPenetratingfractures-Highvelocitymissiles>2500f/s-Lowvelocitymissiles<2500f/sIndirectTrauma:Tractionortensionfract.a
7、ngulationfract.Rotationalfract.Compressionfract.FractureManagementFractureManagementEmergencycare–(splinting)DefinitivefracturetreatmentRehabilitationEmergencycare–(splinting)Splintthemwheretheylie.Adequatesplintingisdesirable,why?Typesofsplints:-impro
8、vised-conventionalDefinitivefracturetreatmentThegoaloffracturetreatmentistoobtainunionofthefractureinthemostanatomicalpositioncompatiblewithmaximalfunctionalreturnoftheextremity.ConservativeOperativeConservativeReduction:ifdisplacedund
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