资源描述：
《骨科踝关节手术教学提纲.ppt》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、骨科踝关节手术03Incidence:RingerikeHospital1/82003–31/72004:184per70000-100000persons128/184(69%)isolatedmalleolarfractures27/184(15%)bimalleolar29/184(16%)trimalleolarANKLEFRACTURESEpidemiology04ANKLEFRACTURESClassification-Why?Whydowerequirefractureclassif
2、ications?forclinicalresearchtounderstandtheliteratureasanaidtofracturedescriptionasanaidtofracturetreatment05AO(Danis/Weber)TypeAbelowthesyndesmosisTypeBatthelevelofthesyndesmosisTypeCabovethesyndesmosisDanisR.Lesfracturesmalleolaires.In:DanisR,ed.Thé
3、orieetpractiquedel`osteosynthése.1949:133-165.WeberBG.DieVerletzungendesoberenSprunggelenkes,Berne:HansHuber,1966.(2nded.1972)Classification–AO(Danis/Weber)ANKLEFRACTURES06AOAO/OTA(Weber)3types(A,B,C)9groups(A1,A2,A3,B1,B2,B3,C1,C2,C3)27subgroupsMülle
4、rME,AllgöwerM,SchneiderR,etal..Manualofinternalfixation,2nded.Heidelberg:Springer-Verlag,1979:282-299.(3rded.1991).OrthopaedicTraumaAssocoation.Fractureanddislocationcompendium.JOrthopTrauma1996;10:1-55.Classification–AO/OTAANKLEFRACTURES07AOAO/OTALau
5、ge-HansenLauge-HansenN.Fracturesoftheankle:combinedexperimental-surgicalandexperimentalroentgenologicinvestigations.ArchSurg1950;60:957-985Classification–Lauge-HansenANKLEFRACTURES08AOAO/OTALauge-HansenSupination-Externalrotation(I,II,III,IV)Supinatio
6、n-Adduction(I,II)Pronation-Externalrotation(I,II,III,IV)Pronation-Abduction(I,II,III)positiondeformingforceClassification–Lauge-HansenANKLEFRACTURES09AOAO/OTALauge-HansenSupination-Externalrotation(I,II,III,IV)Supination-Adduction(I,II)Pronation-Exter
7、nalrotation(I,II,III,IV)Pronation-Abduction(I,II,III)positiondeformingforcestable”stable”unstableClassification–Lauge-HansenANKLEFRACTURES10AOAO/OTALauge-HansenStableversusUnstable(Tile)TileM.Fracturesoftheankle.In:JosephSchatzkerMT,ed.Therationaleofo
8、perativefracturecare.Berlin:Springer-Verlag,1987:371-404.Thepresenceorabsenceofamedialinjuryisthekeytostabilityofthelateralmalleolarfracture.ThemedialinjurydeterminesstabilityClassification–Stable/UnstableANKLEFRACTURES11WeberASAI-IIWeberBSEI-
