אורטופדיה א - דסלוקציות של הירך

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    29-Jul-2015

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<p> B.P.T 1102</p> <p>1</p> <p> : 2 . : . : . ) (. .2</p> <p> .High Energy Femur Femur .Socket %05 - RIM Acetabulum ) .(Acetabulum</p> <p>3</p> <p> Dashboard - Shaft ,Patella-.Acetabulum</p> <p>4</p> <p> ,ADD ,IR ) .(ER ) (LAT + AP - Femur -.Socket</p> <p>5</p> <p> , -09 .FLX Traction- ER . -3 . : 1. 2. 3. 4. . 5. .6</p> <p> Sciatic Nerve- .(FOOT DROP) Avascular Femur- .Osteoarthritis Necrosis . - Post Traumatic Ossification .Osteoarthristis - OA </p> <p>7</p> <p> - ER-.ABD . LAT + AP Traction .IR .Avascular Necrosis AVN </p> <p>8</p> <p> -.Trochanter " .Acetabulum -.Acetabulum -.CT </p> <p>9</p> <p> - 1. Intra-Capsular 2. Extra Capsular</p> <p>01</p> <p> Intra-Capsular : - Greater Trochanter -.Twist " . : 1. ) 1 Garden (. 2. : - ,ER , 3-2 " . 3. : , , ,ER . X-Ray , , . " . Intra 11 .</p> <p>Gardens Classification1. ) (. 2. . 3. ) %05 (. 4. ) %05 (.21</p> <p> 2-1: Hip Screw " 2-1 .Garden -Greater Trochater . DHS Dynamic Hip Screw .RichardNailing s . . Intracapsular .Non Union ,AVN31</p> <p>14</p> <p> 4-3: 4-3 - AVN- Non Union , . ) (: 2-1 . ) ( . DHS : 1. Austin Moore &amp; Thompson Uni-Polar 2. THR -.Acetabulum .</p> <p>51</p> <p>16</p> <p>Extra Capsular : Intertrochanteric Subtrochanteric </p> <p>17</p> <p>Intertochanteric , / , ) (. AVN .Non Union : Intra Extra. : 1. . 2. ,ER Extra Capsular ER .Intra Capsular 3. Extra - .81</p> <p> 51-21 ) ( 02-51 ) ( Intertrochanteric :Kyle 1 - Type . 2 Type . Lesser Trochanter . 3 Type , .Great &amp; Lesser Ilio psoas - LT- Abductor -.GT 4 Type . 4-3 .</p> <p>91</p> <p>20</p> <p> - Sub and Inter Trochanteric Fracrues1. DHS . 2. .Intra Medular Nail : DHS 1. . 2. Acetabulum . , NWB .FWB :Intermedular Nail . - .Inter Locking Nail Nail . Mal-Union . , .Non-Union12</p> <p>Subtrochanteric Fractures , .High Energy . , . . Non Union . </p> <p>22</p> <p> : . 6 -.Hip Spica Cast Callus . . : .Intermedullar Nail ,DHS : :Mal-Union Varus.ER :Non-Union " , .32</p> <p>Femoral shaft fracture , High Energy . , , 2/1 .Femur : . Twist ), (. : . , .Acetabulum42</p> <p> : . )" ( , . 8-6 ) (Callus . . 61 . ,Inter Medullar Nail . - " . . </p> <p>52</p> <p>26</p> <p> -Shaft . . ),Femoral Art (Sciatic Nerve ) Delay-Union 5-4 ) Mal Union ,(FWB - , )( (, Non Union ) " .(Osteotomy . " .Quadriceps 81-61 . . 72 1. 2. 3. 4.</p> <p>5.</p> <p>6.</p> <p>Supracondylar fracture : High Energy , Low Energy . : .T - , Gastrocnemius -.Popliteal Art . : ,EXT/ FLX . /. . . 82 </p> <p> : ) , (. - 2-3 , - Cast brace 4-6 . : , . : ,PWB . : .Hip Spica92</p> <p> : ) " ( / . . : Dynamic Condylar Screw DCS 2-3 CANCELLOUS SCREW Inter Medular Nail PWB-21 .</p> <p>03</p> <p> Supracondylar fracture : ) Popliteal(. . - Non/Delay Union . </p> <p>13</p> <p>Fractures of the femoral condyles : , " . : . T : , , , ) Hemi Arthrosis (.</p> <p>23</p> <p>: - 8-6 : ,ORIF : . Screw, DCS NWB : , CPM -. SLR 6-21 .</p> <p>33</p> <p> , . " , . . )Popliteal( - ) Common Fibular( </p> <p>43</p> <p> : 1. = .Patella 2. ) ),(Quadriceps ),(Patellar Lig )(. 3. = - ,Patella - Quadriceps - .Patellar Ligament53</p> <p> -Patella : : / ) (Dashboard Inj Patella . : .Quadriceps : , , ,Patella , , </p> <p>63</p> <p>73</p> <p> . 4-3 , Quadriceps . - ORIF . 3 " . : Screw ) Tension Kishner Wire .(Band Wiring .Partial Patellectomy .Full Patellectomy . FWB 83</p> <p>Tension band</p> <p>39</p> <p>Screw fixation</p> <p>40</p> <p> Extensor lag :Patella Patellofemoral .Quadriceps </p> <p>14</p> <p> -Quadriceps Tendon . RA . , , ) (, )( )(. " MRI .Ultrasound : - 6 . - . 6 . : :Scuderi , ) Flap(. :Codvilla Tendon Repair . Flap .24</p> <p>43</p> <p>:Osgood Schlatter DiseaseTraction tendinitis of the Tibial Tuberosity : 01-41 , " ) (. : TT , , , . , . : .Medial Condyle Of The Femur " 2 ". . - , , , , . - )(, " .44</p> <p>:Osteochondritis Dissecans Of The Knee</p> <p>45</p> <p>46</p> <p>Dislocation of the patellaAcute dislocation Recurrent dislocation Habitual dislocation </p> <p>47</p> <p>Acute dislocation : 1. : 2. : Valgus ,IR of Femur . -.Quadriceps : Groove, ,Genu Valgum Tibia,ER ,Patellar Hypermobility ,Patella Alta .VMO : , - PFJ OA Medial Retinaculum- .Patellofemoral Ligament84</p> <p>Recurrent dislocation . : ,, , . Aprehension Test. : Patella +/-. Groove +/-. " . </p> <p>94</p> <p> : - -.VMO : . - - Tibial Tuberosity .</p> <p>05</p> <p>Habitual dislocation . ) (. - .</p> <p>15</p> <p>Tibial plateau fractures .MetaPhysis : ) ( .A .Comminuted Compression .B .Depressed Platue .C Oblique Shearing " .</p> <p>25</p> <p> :Schatzker : 1. Lateral Condyle )(Wedge 2. Lateral Condlye - Wedge + Depression 3. )(Central Depression 4. (Medial Platue) Medial Condyle 5. Y .Condyles 6. .1 6</p> <p>35</p> <p> : 1. - :Valgus . .Bumper Fracture 2. Varus . 3. )( Y. : . .</p> <p>45</p> <p> , Hinge Ortosis . -FLX EXT .ABD-ADD Traction . ORIF 3 " )(. " . External Fixation . : 8-12 NWB, 21-01 , 02-41 .55</p> <p>1. 2. 3. 4. 5. 6.</p> <p> Valgus Deformity .1 .Lateral Condyle- Knee Stiffness .2 OA .3 .Compartment Syndrome .4</p> <p>56</p> <p>Tibial shaft fracture . " . . , . 81-21 . </p> <p>75</p> <p> : ) (. 84-27 , , .Compartment Syndrome 4-6 Functional brace , .</p> <p>85</p> <p>59</p> <p> : 1. Intramedullary nail : , . ) (Interlocking screw . 2. Plate fixation ) (. ),(Periosteal stripping , . . .06</p> <p>61</p> <p> , . ).(Debridement , ) + " external .(fixation . " ) , -.(ROM </p> <p>26</p> <p> .Popliteal artery Compartment syndrome Infection </p> <p>63</p> <p>:Compartment Syndrome " 3/1 .Shaft ) (. - . :Compartment Syndrome 1. PAIN . 2. PARAESTHESIA . 3. PAILNESS/ . 4. PARALYSIS ) ( 5. PULSE LESSNESS . : Fasciotomy Fascia . 46</p> <p> Mal Union Delayed Union Non Union " . .Joint Stiffness Osteoperosis </p> <p>56</p> <p> : Tibia " . " . Fibula .Tibia ". Fibula . : . :Tibia , , , . : + . : ) (. -4 . + :CT . , CT . : " 01-8 . 66</p> <p>67</p>

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