矫形外科学ppt课件.ppt

骨骨 科科 学学矫形外科学矫形外科学 Orthopaedics1Tree of Nicolas Andry （1741）234研研 究究 内内 容容运动系统的创伤和疾病运动系统的创伤和疾病567矫形外科发展史矫形外科发展史 骨折治疗的历史骨折治疗的历史891011History of Osteosynthesis125000 years ago Egyptians external splintage13 1770 Lapejode Sicre internal fixation 1820 John Kearny Rogers silver wire suture 141843Malgaigne griffe(claw)(first external fixatior)15 Albin Lambotte (1866-1955)现代内、外固定之父现代内、外固定之父16Rober Danis1932-1949soudure autogene(welding)soudure autogene(welding)direct bone healing17 Maurice E.Mller AO Arbeitsgemeinschaft AO Arbeitsgemeinschaft fur Osteosynthese fragen fur Osteosynthese fragen 18第一节第一节 概概 述述(General Outline)骨折概论骨折概论19 There is no class of injuries which a practitioner approaches with more doubt and misgiving than fractures,or one which demands a greater amount of ready knowledge,self reliance,and consummate skill.Samuel D.Gross,1882.20Definition Fracture is interrupted in the communication of bone.21Etiology and classification1.Causal Factors and Mechanism of Injury.l A direct force tapping crushing22l l A indirect force twisting angulation axial compressionl l Avulsion forcel l Stress23242526272.Classificationl Stable Stable stable fracture unstable fracture 28l Soft tissue closed fracture open fracture29l Pathology pathological fracture30l l Fracture Lines transverse oblique spiral compression31avulsiongreen-stickcomminuteddislocation32shaped-starshaped-T、Y、Vbutterflycrushing3334353637l l Amount of Fruacture multiple doublel l Epiphysisl l Time fresh old38此课件下载可自行编辑修改，供参考！感谢您的支持，我们努力做得更好！