Đại cương gãy xương CLB Y Khoa Trẻ ĐH Y Khoa Vinh

Bs CKI.CTCH.Trần Văn Thuyên Trưởng Khoa CTCH Phone:0983969491 Mail: thuyentranvan@gmail.com thuyentv@bvquoctevinh.com Page Facebook:Bs Thuyên Chấn thương chỉnh hình - xương khớp bv Quốc tế Vinh Đại cương gãy xương 11/29/18 Ví dụ: Hình ảnh thay slide 11/29/18 • An orthopaedic surgeon dealing with trauma must combine the knowledge of the systemic effects of trauma, including immunological impair-ment, malnutrition, pulmonary and gastrointestinal dysfunc-tion, and neurological injury in planning both the timing and the type of surgical intervention required • The goal of fracture treatment is to obtain union of the fracture in the most anatomical position compatible with maximal functional return of the extremity CLASSIFICATION OF FRACTURES • • The extensive Orthopaedic Trauma Association (OTA) classification • The latest 2007 update of the OTA classification includes the AO classification Name: such as Judet, Judet, and Letournel’s classification of acetabular fractures and Neer’s classification of proximal humeral injuries Linear Comminuted Segmental Bone Loss CONTRAINDICATIONS TO SURGICAL REDUCTION AND STABILIZATION DISADVANTAGES OF SURGICAL REDUCTION AND STABILIZATION TIMING OF SURGICAL TREATMENT • Surgical procedures can be divided into three categories: emergency, urgent,and elective LAMBOTTE’S PRINCIPLES OF SURGICAL TREATMENT OF FRACTURES • • • • (1) anatomical reduction of the fracture fragments, especially in joint fractures, (2) stable internal fixation to fulfill the local biomechanical demands, (3) preservation of blood supply to the injured area of the extremity, and (4) active, pain-free mobilization of adjacent muscles and joints to prevent the development of fracture disease TREATMENT OF COMPLICATIONS FROM SURGICAL TREATMENT OF FRACTURES • • • • • INFECTION GAS GANGRENE TETANUS SOFT TISSUE COMPLICATIONS THROMBOEMBOLIC COMPLICATIONS .. .Đại cương gãy xương 11/29/18 Ví dụ: Hình ảnh thay slide 11/29/18 • An orthopaedic surgeon dealing with