Fractures of the Forearm Wrist and Hand小儿骨折的前臂手腕和手ppt课件.pptVIP

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2018-08-06 发布于贵州
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Fractures of the Forearm Wrist and Hand小儿骨折的前臂手腕和手ppt课件.ppt

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Fractures of the Forearm Wrist and Hand小儿骨折的前臂手腕和手ppt课件

Pediatric Fractures of the Forearm, Wrist and Hand;Pediatric Forearm Fractures;Pediatric Forearm Fracture Locations;Pediatric Forearm Fracture Types;Goals of Treatment;Pediatric Forearm;Plastic deformation;Plastic Deformation of the Forearm;Plastic Deformation;Incomplete (Greenstick) Fracture;Incomplete (Greenstick) Fractures;Complete Fracture;Complete Fracture;Closed Reduction Method;Closed Reduction Method;Excellent Reduction with Well Molded Cast;How Much Angulation is too Much?;Acceptable Limits;Remodeling Potential –Variables to Consider;After Closed Reduction and Casting;Maintaining Reduction;Forearm Fractures - Complications;Rotational Malunion;Cast Burns- can occur during cast removal if blade dull or improper technique used;Indications for Internal Fixation;Implant Choice for Pediatric Diaphyseal Forearm Fractures;Intramedullary Fixation;Intramedullary Fixation;Intramedullary Fixation;Inserting Radial Rod;Intramedullary Fixation;IM Fixation Complications;Plate Fixation;Plate Fixation;Open Fractures;Open Metadiaphyseal Fractures;Implant Removal;Galeazzi Fracture- Radial Shaft Fracture with DRUJ Injury;Galeazzi Equivalent;Galeazzi Fracture;Galeazzi Equivalent;Previous Injury Following Closed Reduction;Pin fixation ulnar epiphysis and ulna to radius pin with above elbow cast;Distal Radius Fractures;Distal Radius Fractures;Differences?;Associated Injuries;Nondisplaced Distal Radius Fractures - Treatment;Displaced Distal Radius Physeal Fractures-Treatment;Physeal Injury Reduction Maneuver;“Repeated efforts at reduction do nothing more than grate the plate away.” “These injuries unite quickly, so that attempts to correct malposition after a week are liable to do more damage to the plate than good.” ;Treatment Recommendations;Remodeling Potential - 12 yo Male;Sagittal plane: Apex volar remodels ~ 0.9 degrees per month Coronal Plane: Radial deviation remodels ~ 0.8 degrees per month Thus, 30-350 of residual angulation needs around 5 years to completely remodel