(外科学课件）03Fractue introduction2016骨折总论翻译_25.pptVIP

(外科学课件）03Fractue introduction2016骨折总论翻译;骨科未来的发展和前进方向 需要创造性（Creative , Innovation） 相关学科的发展和多学科的互相交融 （Multiidiciplines development） ;Orthopaedics;INTRODUCTION OF FRACTURE;Definition ;1. DEFINITION OF FRACTURE;2. CAUSES OF FRACTURES;Trauma;Muscular contraction force肌肉收缩力;Cyclic force;Bone diseases;3. CLASSIFICATION OF RACTURES;;On the basis of pattern形态;On the basis of displacements移位;Factors which are responsible for displacements ;On the basis of displacements;On the basis of displacements;AO/ASIF国际内固定协会 CLASSIFICATION;4. EMERGENCY CARE OF FRACTURES;Manage the wound处理伤口 ;;Transfer the patient;Wrong method to transport the spine fracture;Definition ;CLINICAL RADIOLOGICAL FEATURES; Local Manifestation Swelling肿胀 Traumatic Inflammation Pain疼痛 Impairment of function 功能障碍 ; Deformity 畸形 Unique Signs Abnormal Motio反常活动 Bony Crepitus or Grating骨摩擦音 ; 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)压疮 Pneumonia坠积性肺炎 Infection of the Urinary tract尿路感染;COMPLICATION OF FRACTURE; FRACTURE HEALING;Three major phases 1. Reactive phase反应期 2. Reparative phase 修复期 3. Modeling and Remodeling phase塑形期 ;1. Reactive phase ( 2 w ) Hematoma and inflammation血肿炎症机化期 Fibrinogen 纤维蛋白原＋ Reticular Fibril 网状纤维 Blood Clots 血凝块 New Vessels ＋ Mesenchymal Cell 间质细胞＋ Inflammatory Cell Haematoma血肿 →→Fibrosis Granulation Tissue Formation肉