最新骨骺损伤40课件ppt.ppt

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1、骨骺损伤40骨骺损伤－－概况意外事故终身残废骨骺损伤占儿童损伤10—15%男性多于女性远端多于近端基本差别病史父母特殊表现可致急或慢性生长障碍再塑矫正能力血运增加刺激生长愈合迅速年龄胎儿时期一岁以内二岁以后活动水平分类1863年Foucher三类1单纯分离2骨骺分离节一厉层薄层骨组织3近骨骺端松质骨断裂分类1963年Salter和Harris从损伤机理,受伤骺板细胞层,对生长的影响分五型Ⅰ型骨骺与骺板从干骺端分离Ⅱ型骨骺分离伴干骺端部分骨折Ⅲ型骨折线从关节面经过骨骺,造成该区骺板分离,即关节内骨折加骨骺分离.Ⅳ型骨折线波及关节面,骨

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