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ID:25339457
大小:2.95 MB
页数:51页
时间:2018-11-19
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1、ORTHOPEDICSINTRODUCTIONWenzhouCentralHospitalTraumatologyDepartmentChenMang-mangSectiononedefinitioncauseclassificationdisplacement一、Definition:Theintegrityand/orcontinuityofthebonebeinterruptted二、cause1directviolence:meas:violencedirecttothebone----thanfracture.2indirectviolence:translate
2、tothebone-thanfracture.Violenceindirecttothefracturepart.(suchascolle’sfracture)。myotility:musclesattachedthebone(patellafracture)。transverse processfracture.3fatiguefracture:Long-term,repeatedandminorexternalforce.thestressaccumulated.suchas:thesecondandthirdmetatarsalfracturesbecauseoflong-d
3、istancemarch;distal1/3partfibulafractureabovethreetypes,alloccurinhealthybone,calledTraumaticfractures4pathologicalfracture:occurinBonedisease,Slightforce。(tumor、infection)三、classification(plentyof)(一)accordingtoskin、Mucosaofthefrature.1、closefracture:endsofthefractureandairareinterlinked.2、op
4、enfracture:aren’tinterlinked(二)accordingtoseverityandshape1、incompletefracture:Theintegrityand/orcontinuityofthebonebeinterruptted1)linearfracture:gap,notdisplaced.(Theskullbone,scapulabone)2)greendstickfracture:Boneandperiosteumpartlybroken,withorwithoutangulationdeformity。(likeWillowbranches
5、)2、completefracture:Theintegrityand/orcontinuityofthebonebeinterrupttedcompletelyAccordingtofracturelineandshape:1)TransverseFracture:fractureandverticalaxis=vertical。(rightpic.)三、accordingtoseverityandshape2)obliquefracture:fracturelineandverticalaxistoformacertainAngle(asrightfigure)(accordi
6、ngtoseverityandshape)3)spiralfracture:(rightpic.)4comminutedfracture:morethan2fragments。(asrightpic.)三、accordingtoseverityandshape5)impactedfracture:thefragmentscompactedintotheotherone,mainlyoccursinfractureofmetaphysis。Insertcancellousbonecorticalboneinsertedintocancellousbone(rightpic.)三6co
7、mpressionfracture:compressedanddeformed。Occursinspongybone。如spinalfracture,calcanealfracture。(rightpic.)三7)depressedfracture:Skullbone。8)Epiphysealseparation:fracturelinegoesthroughtheepiphyseal。accordingto…stableornot1、stablefracture:t
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