外科学精品教学（重庆医科大学）01.general principles of fracture 标准.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * MAL-UNION Loose of Apposition of Over Criterion of Functional Reduction 右股骨中/下段骨折延迟愈合 骨折不愈合 Mal-union Nonunion Delayed union * * Both of these words mean that the normal bone architecture has been disrupted. This does not imply a certain type of treatment, but in general, bones heal best when immobilized. Therefore treatment often involves casting of the broken bone (or fracture) and may require surgery to fix the bone into place * A fracture is defined as a disruption in the integrity of a living bone,?involving injury to the bone marrow, periosteum, and adjacent soft tissues. Many types of fractures exist, such as pathologic, stress, and greenstick fractures. When a fracture occurs, it is described radiographically and clinically in terms of the following factors: * * * * * * * * * * * * * * * * * * * * * * * * FRACTURE HEALING Criterion of Fracture Healing 1. Absence Tenderness and Axial Percussion Pain 2. Absence Abnormal Mobility 3. Visible Continued Callus has Bridged Fragments and Fracture Line Indistinct FRACTURE HEALING 4. After the Splints has been Removed, A. The Arm is Parallel to Ground, and Hold 1 kg Persist in 3 min. B . The Legs is Walk 30 Pace on 3 min. C. After Observe 2 w Continually , Good Result has Showed on the Fracture Site FRACTURE HEALING Criterion of Fracture Healing INFLUENCED FACTORSof FRACTURE HEALING Systemic Factors 1. Age 2. Systemic Condition Local Factors 1. Pattern of Fracture INFLUENCED FACTORof FRACTURE HEALING 2. Blood Supply ( Fragment )