Principles of Fracture Treatment：骨折的治疗原则.ppt

POP Slab or Splint Traction Operative ORIF (open reduction internal fixat.) Percutineous pinning External fixation Indications of ORIF - absolute - relative Types of Internal Fixation - Pin wire fixat. - Screw fixat. - Plate screws fixat. - Intra-medullary fixat. Plate screws fixat. Functional types: Compression plates Neutralization plates Buttress plates Bridge plates LC- DCP Liss plates Locking plates screws Intra-medullary fixat. Centro-medullary - Unlocked -Interlocking(static – dynamic – double locked) Condylocephalic Cephalomedullary CONTRAINDICATIONS TO SURGICAL REDUCTION AND STABILIZATION Situations in which there is a high probability for failure with operative treatment are as follows: 1. Osteoporotic bone that is too fragile to allow stabilization by internal or external fixation. 2. Soft tissues overlying the fracture or planned surgical approach of such poor quality because of scarring, burns,active infection, or dermatitis . 3. Active infection or osteomyelitis. 4. Fracture comminution to a degree that does not allow successful reconstruction. This is most commonly seen in severe intraarticular fractures. 5. General medical conditions that are contraindications to anesthesia are generally contraindications to the surgical treatment of fractures. 6. Undisplaced or stable impacted fractures in acceptable position do not require surgical exposure or reduction. 7. Inadequate equipment, manpower, training, and experience. Rehabilitation When ? How ? External fixat. Advantages. Disadvantges. Complications. Indications. Frame Thank you Definition of Fracture It is disruption of bone continuity. Although most of #s occur as a result of a single episode by a force powerful enough t