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ID:25204707
大小:2.95 MB
页数:51页
时间:2018-11-18
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1、ORTHOPEDICSINTRODUCTIONWenzhouCentralHospitalTraumatologyDepartmentChenMang-mangSectiononedefinitioncauseclassificationdisplacement一、Definition:Theintegrityand/orcontinuityofthebonebeinterruptted二、cause1directviolence:meas:violencedirecttothebone----thanfracture.2indirectviolenc
2、e:translatetothebone-thanfracture.Violenceindirecttothefracturepart.(suchascolle’sfracture)。myotility:musclesattachedthebone(patellafracture)。transverse processfracture.3fatiguefracture:Long-term,repeatedandminorexternalforce.thestressaccumulated.suchas:thesecondandthirdmetatarsalfr
3、acturesbecauseoflong-distancemarch;distal1/3partfibulafractureabovethreetypes,alloccurinhealthybone,calledTraumaticfractures4pathologicalfracture:occurinBonedisease,Slightforce。(tumor、infection)三、classification(plentyof)(一)accordingtoskin、Mucosaofthefrature.1、closefracture:endsofthe
4、fractureandairareinterlinked.2、openfracture:aren’tinterlinked(二)accordingtoseverityandshape1、incompletefracture:Theintegrityand/orcontinuityofthebonebeinterruptted1)linearfracture:gap,notdisplaced.(Theskullbone,scapulabone)2)greendstickfracture:Boneandperiosteumpartlybroken,withorwi
5、thoutangulationdeformity。(likeWillowbranches)2、completefracture:Theintegrityand/orcontinuityofthebonebeinterrupttedcompletelyAccordingtofracturelineandshape:1)TransverseFracture:fractureandverticalaxis=vertical。(rightpic.)三、accordingtoseverityandshape2)obliquefracture:fracturelinean
6、dverticalaxistoformacertainAngle(asrightfigure)(accordingtoseverityandshape)3)spiralfracture:(rightpic.)4comminutedfracture:morethan2fragments。(asrightpic.)三、accordingtoseverityandshape5)impactedfracture:thefragmentscompactedintotheotherone,mainlyoccursinfractureofmetaphysis。Insertc
7、ancellousbonecorticalboneinsertedintocancellousbone(rightpic.)三6compressionfracture:compressedanddeformed。Occursinspongybone。如spinalfracture,calcanealfracture。(rightpic.)三7)depressedfracture:Skullbone。8)Epiphysealseparation:fracturelinegoesthroughtheepiphyseal。accordingto…stableorno
8、t1、stablefracture:t
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