骨折概论(英文版本)---陈芒芒精编PPT课件.ppt

三、The influence of treatment ?repeatedly gimmick reset (outer membrane injury of soft tissue and bone)Cut open reduction (soft tissue, stripping bone outer membrane) improper debridement of open fracture(bone defect caused by removing the broken bone) ? continuous tractioninappropriately weak fixion(callus growth) Functional exercise (premature and inappropriate) Section 6 first aid of fracture objective Simple and effective save life、 Protect limb、e and effective Shift safely Rescue shock:- heat preservation, the respiratory tract unobstructedThe wound:- a relatively clean cloth, tourniquet (if necessary), outside the hard-core end should not be reset.? fixed properly:- fracture first aid treatment is the most important one, its role is to avoid further injury, relieve pain, easy to transport, local materials.? rapiddly transferred Section 7 The principle for the treatment of fractures Three principles for the treatment of fractures reduction fixion Functional exercise Function restoration standard 二、fixion External fixion splint plaster --bracket、brace Traction system External fixion Internal fixtion plate screw intramedullary?nail 三、functional exercise Section 8 how to deal with open fracture most dangerous complication—infection3 types: ?debridement time limited 6-8h，contaminated,First phase of the suture 8-24h，debridement may could over24h，Don't debridement Debridement tips clean up:, a tourniquet best not to use.? cleaning? resection margin, and the deactivation,? keep nerves, blood vessels, cutting fat more,Joint capsule excision of the pollution and harms.? bone outer membrane to retain,Chisel in addition to the 0.5 1 cm, fracture end, it is not easily removed bone block,Once again, cleaning, change of dressings Section 9 principle?of?managementof open fracture According to severity and prognosis,divided to 3 types:take something into consideration: Section 10 delayed union 、 nonunion 、 malunion 概