אורתופדיה א - הקדמה

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B.P.T 1102

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: -, , . : "" "". : - . .Humerus )( , Calcaneus .2

Physis - epiphyseal plate . . . .

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* . : 1. . 2. . 3. . 4. . 5. ) / ( . 6. / .4

)( . , , ) (. . " , . ), (. " -3/1 - Humerus-.Femur5

" , . : . -3 : - ) (. - ) (. - .6

:Salter_ harris classification -,Epiphysis ....Diaphysis ) :AO classification (Muller , . .

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Salter-Harris fractures

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. . " : Gustillo classification :I 1 " , , - IMN -12 82 . :II 1 " , , - IMN 82-62 ' :III , ) ,(A;B;C - A,B - IMN53-03 - C . 9

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, . ) 1 -2( . ) 3(, , .

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,Spiral ,Oblique . . Comminution .

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/ " " " . .

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: . , , , " ". . : MOVE ,FEEL ,LOOK : , , , , .X-Ray ,Viscera , , , .41

Osteoclast.Osteoblast 1. -. 3 .Callus- Callus , .

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2. ) (CONSOLIDATION + Osteoblast . Callus . 3. ) (REMODELLING . .Osteoclast

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. . ) (. . . . . . - .81

? : 1. . 2. . 3. . : 1. . 2. .

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- : Emergency care . : - ,Stabilization:

1.

2. - Definitive Treatment . 3. .02

): (reduction ):(fixation . Osteoartritis .12

REDUCTION /. / / / . , . - -21 : . . . . .22

- FIXATION : 1. . 2. . 3. . 3 !!! - ,Scaphoid - Shaft Ulna . . !! , . , , .32

- CONTINUOUS TRACTION

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CONTINUOUS TRACTION . . . . : , , . : . : .52

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- Plaster/Splint Brace . / . : 1. , 2 . 2. .

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- INTERNAL FIXATION : . . ) , (. : . : , , .

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INTERNAL FIXATION /

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EXTERNAL FIXATION )" (. . // / . . . , .13

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SHOCK - ACUTE RESPIRATORY DISTRESS )ARDS .(SYNDROME FAT EMBOLISM -

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DELAYED UNION NON UNION MAL UNION JOINT STIFFNESS AVN OSTEOARTHRITIS . VISCREAL INJURY VASCULAR INJURY COMPARTMENT SYNDROME NERVE INJURY HAEMARTHROSIS INFECTION

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: 1. . 2. 3.

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Delayed Union . , . , Callus . -6 . -:Delay Union " Iliac Crest . .63

Non Union: 1. 2. 3. 4. . 5. Over Distraction . - Non Union . " " +- .73

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Mal - Union1. Length Malunion 2. Angular Malunion . 3. Rotational Malunion. : , . . : / . - CORRECTING OSTEOTOMY AND INTERNAL FIXATION93

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. . Bone Mineral Density : BMD 1< Normal BMD 5.2-1 Low bone mass BMD 5.2> Osteoporosis BMD 2 : - Postmenopausal , , . - senile . - ). DXA (dual energy x- ray absorptiometry14

1. 2. 3. 1. 2.

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