אורתופדיה א - הקדמה

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    29-Jul-2015

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<p> B.P.T 1102</p> <p>1</p> <p>: -, , . : "" "". : - . .Humerus )( , Calcaneus .2</p> <p> Physis - epiphyseal plate . . . .</p> <p>3</p> <p>* . : 1. . 2. . 3. . 4. . 5. ) / ( . 6. / .4</p> <p> )( . , , ) (. . " , . ), (. " -3/1 - Humerus-.Femur5</p> <p> " , . : . -3 : - ) (. - ) (. - .6</p> <p> :Salter_ harris classification -,Epiphysis ....Diaphysis ) :AO classification (Muller , . .</p> <p>7</p> <p>Salter-Harris fractures</p> <p>8</p> <p> . . " : Gustillo classification :I 1 " , , - IMN -12 82 . :II 1 " , , - IMN 82-62 ' :III , ) ,(A;B;C - A,B - IMN53-03 - C . 9</p> <p>10</p> <p> , . ) 1 -2( . ) 3(, , .</p> <p>11</p> <p> ,Spiral ,Oblique . . Comminution .</p> <p>21</p> <p> / " " " . .</p> <p>31</p> <p>: . , , , " ". . : MOVE ,FEEL ,LOOK : , , , , .X-Ray ,Viscera , , , .41</p> <p> Osteoclast.Osteoblast 1. -. 3 .Callus- Callus , .</p> <p>51</p> <p>16</p> <p>2. ) (CONSOLIDATION + Osteoblast . Callus . 3. ) (REMODELLING . .Osteoclast</p> <p>71</p> <p> . . ) (. . . . . . - .81</p> <p> ? : 1. . 2. . 3. . : 1. . 2. .</p> <p>91</p> <p> - : Emergency care . : - ,Stabilization: </p> <p>1. </p> <p>2. - Definitive Treatment . 3. .02</p> <p> ): (reduction ):(fixation . Osteoartritis .12</p> <p>REDUCTION /. / / / . , . - -21 : . . . . .22</p> <p> - FIXATION : 1. . 2. . 3. . 3 !!! - ,Scaphoid - Shaft Ulna . . !! , . , , .32</p> <p> - CONTINUOUS TRACTION </p> <p>42</p> <p>CONTINUOUS TRACTION . . . . : , , . : . : .52</p> <p>26</p> <p> - Plaster/Splint Brace . / . : 1. , 2 . 2. .</p> <p>72</p> <p>28</p> <p> - INTERNAL FIXATION : . . ) , (. : . : , , .</p> <p>92</p> <p>INTERNAL FIXATION / </p> <p>30</p> <p>EXTERNAL FIXATION )" (. . // / . . . , .13</p> <p>32</p> <p> SHOCK - ACUTE RESPIRATORY DISTRESS )ARDS .(SYNDROME FAT EMBOLISM - </p> <p>33</p> <p> DELAYED UNION NON UNION MAL UNION JOINT STIFFNESS AVN OSTEOARTHRITIS . VISCREAL INJURY VASCULAR INJURY COMPARTMENT SYNDROME NERVE INJURY HAEMARTHROSIS INFECTION </p> <p>34</p> <p> : 1. . 2. 3. </p> <p>53</p> <p>Delayed Union . , . , Callus . -6 . -:Delay Union " Iliac Crest . .63</p> <p>Non Union: 1. 2. 3. 4. . 5. Over Distraction . - Non Union . " " +- .73</p> <p>38</p> <p>Mal - Union1. Length Malunion 2. Angular Malunion . 3. Rotational Malunion. : , . . : / . - CORRECTING OSTEOTOMY AND INTERNAL FIXATION93</p> <p>40</p> <p> . . Bone Mineral Density : BMD 1&lt; Normal BMD 5.2-1 Low bone mass BMD 5.2&gt; Osteoporosis BMD 2 : - Postmenopausal , , . - senile . - ). DXA (dual energy x- ray absorptiometry14</p> <p> 1. 2. 3. 1. 2. </p> <p>42</p>

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