骨盆及髋臼骨折课件.ppt

骨盆及髋臼骨折

FracturesofPelvisandAcetabulum;FracturesofPelvis;人体骨骼构造;;;股骨头的血供特点;股骨头坏死的定义;疾病分型;外伤性坏死;儿童型坏死;先天性坏死

;非先天性坏死非创伤性坏死

;症状;体征与检查;疾病分期;治疗方法;费用明细;“干细胞移植”治疗股骨头坏死

;干细胞移植的优点;什么是骨小梁;易感人群;各期CT扫描特征;股骨头坏死容易与哪些疾病混淆

;治疗效果;预防保健;预防保健;?Pelvicpathology:

Undisplaced/minmallydisplaced/displaced:

Stablefracture

Partiallystablefracture(rotational)

Completelyunstable(rotationaland vertically/translationally)

Isolatediliacwingfractures

Undisplacedpubicramiifractures

Transversefracturesofsacrumbelowpelvic ring

Oscoccygisfractures

Allpelvicligamentsintact!

;Unstablepelvicfractures:

Partiallystable:

Rotationallyunstable:

External/internalrotation (lateralcompression)

Flexion/extension

Abduction/adduction

Completelyunstable:

Rotationallyandvertically (translationally)unstable;Partiallystablepelvicfractures:

Rotationallyunstable:

Openbookfracturesexternal rotation

Lateralcompressionfractures internalrotation

;Externalrotation:

Mechanismsofinjury:

Posteriorcrush

DirectpressureASIS

Externalrotationthroughfemur(s)

Rupturesymphysis/sacrospinous lig./anteriorsacroiliaclig

Alwaysposteriorandinterossessacroiliac ligamentsintact!

;Externalrotationallyunstablefracture:

Partiallystablepelvicfractures:

Disruptionofsymphysisonly:

Slightexternalrotation

Wideningofsymphysis max.2.5cm

=Openbookinjury

;Externalrotationallyunstablefractures:

Partiallystablepelvicfracture:

Disruptionofsymphysis,sacrospinous ligamentand

anteriorsacroiliacligament:

Openbookinjury

MassiveexternalrotationPSISabuts sacrum:

Externalrotationalinstability;Externalrotationallyunstablefractures:

Partiallystablepelvicfracture:

Disruptionofsymphysis,sacrospinous ligament,

allsacroiliacligaments:

Openbookinjurywith:

Massiv