(外科学课件）03.Deng Fractue introduction2016f宣讲培训.pptVIP

骨 科 学 Orthopaedics;古代骨科简述;古希腊Hippocrates（Bc460～377） 骨折脱位等的治疗 古罗马Galen（Ac130～200） 人体解剖 16世纪Azeecs 人 骨不连内固定治疗：木片 Jean-Andre Venel(1740-1791): Venevese, be called the Father of Orthopaedics Julius Wolff（1836-1902）：Wolffs law ;骨科学命名及研究内容;Orthopaedics;INTRODUCTION OF FRACTURE;Definition ;1. DEFINITION OF FRACTURE;2. CAUSES OF FRACTURES;Trauma;Muscular contraction force;Cyclic force;Bone diseases;3. CLASSIFICATION OF RACTURES;;On the basis of pattern;On the basis of displacements;Factors which are responsible for displacements ;On the basis of displacements;On the basis of displacements;AO/ASIF CLASSIFICATION;4. EMERGENCY CARE OF FRACTURES;Manage the wound ;;Transfer the patient;Wrong method to transport the spine fracture;Definition ;CLINICAL RADIOLOGICAL FEATURES; Local Manifestation Swelling Traumatic Inflammation Pain Impairment of function ; Deformity Unique Signs Abnormal Motion Bony Crepitus or Grating ; Image check (classic workup) Fracture yes or no ? Pattern of fracture Decision making for the Treatment ;COMPLICATION OF FRACTURE; Late Complications Systemic Complication Pressure Sores (bedsore) Pneumonia Infection of the Urinary tract;COMPLICATION OF FRACTURE; FRACTURE HEALING;Three major phases 1. Reactive phase 2. Reparative phase 3. Modeling and Remodeling phase ;1. Reactive phase ( 2 w ) Hematoma and inflammation Fibrinogen ＋ Reticular Fibril Blood Clots New Vessels ＋ Mesenchymal Cell ＋ Inflammatory Cell Haematoma →→Fibrosis Granulation Tissue Format