骨折概论2PPT.ppt

骨 科 学矫形外科学 Orthopaedics ;Tree of Nicolas Andry （1741）;;;;矫形外科发展史;;;;History of Osteosynthesis;5000 years ago Egyptians external splintage; 1770 Lapejode Sicre internal fixation 1820 John Kearny Rogers silver wire suture ;1843 Malgaigne griffe(claw) (first external fixatior); Albin Lambotte (1866-1955) 现代内、外固定之父;Rober Danis 1932-1949 soudure autogene(welding) direct bone healing; Maurice E. Müller AO Arbeitsgemeinschaft fur Osteosynthese fragen ;第一节 概 述(General Outline); There is no class of injuries which a practitioner approaches with more doubt and misgiving than fractures, or one which demands a greater amount of ready knowledge , self reliance, and consummate skill. Samuel D.Gross, 1882.;Definition;Etiology and classification; A indirect force twisting angulation axial compression Avulsion force Stress;;;;;2. Classification; Soft tissuγe; Pathology pathological fracture ; Fracture Lines transverse oblique spiral compression ;avulsion green-stick comminuted dislocation ;shaped-star shaped-T、Y、V butterfly crushing;;;;; Amount of Fruacture multiple double Epiphysis Time fresh old;;;;第二节 骨折的临床表现和诊断( Clinical manifestation and Diagnosis of Fracture );1. Injury history shock or haemorrhage associated damage to brain , spinal cord or viscera a predisposing cause ;2. Syptoms and signs pain, tenderness, conductible pain swelling, ecchymosis function disablity deformity abnormal movement, crepitus;3. X-ray;Diagnosis;Line of Fracture;Displacement;;;第三节 骨折愈合和功能恢复( Healing and Functional Recovery of Fracture );一、骨折的愈合过程(Healing process of Frac