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第七节骨折的治疗原则(国外英语资料)
第七节骨折的治疗原则
The seventh section treats the principle of fracture
There are three main principles for the treatment of fracture, that is reduction, fixation and rehabilitation.
1. the reduction is to restore the normal or nearly normal anatomical relationship of the displaced fracture segment, and to reconstruct the stent action of the bone. It is the first step in the treatment of fractures, and also the basis for fracture fixation and rehabilitation. Early correct reduction is a necessary condition for successful fracture healing.
2. fixation is the key to the fracture healing, which is to maintain the position of the fracture after reduction and to achieve firm healing under good contraposition.
3. rehabilitation therapy is to relieve the contraction and contraction of soft tissue such as muscle, muscle key, ligament and joint capsule as soon as possible without affecting the fixation. Early functional exercise reasonable, can promote haemal circulation, eliminate swelling; reduce muscle atrophy and maintain muscle strength; prevent osteoporosis, joint stiffness and fracture healing, is an important guarantee for the recovery of limb function.
I. reduction of fracture
(I) standard of reduction
1. anatomical reduction of the fracture segment restored the normal anatomic relationship by reduction, with the right contact surface of the two fracture end and the line (two fracture section in relation to the longitudinal axis) perfectly well, called anatomic reduction.
After 2. reduction and reduction, the two fracture segment was not restored to normal anatomic relation, but the functional reduction was seen after the fracture healing. The requirements of functional reduction in each site are different. It is generally believed that the criteria for functional reduction are: rotation, displacement, separation, and displacement of the fracture site must be completely corrected. Shortening the shift in adult lower limb fracture is not more than 1 cm; if there is no bone m
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