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1、,胫骨骨折的 MIPPO治疗赣南医学院第三附属医院骨科胡超华Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,目录Q、解剖病因临床表现及诊断MPDo治疗方法临床病历及讨论Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slid
2、es for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,统计学在现代骨折病例中,胫骨骨折比较常见,是发生频率较高的长管状骨折,在全部骨折病例中的比重达到了13%左右Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,内側头肠肌(外头丰只缝匠肌附舜长几殴四头用经管腱腿址长匡肌解腓晋知
3、周一剖径骨后们骨s阻经骨前长长伸机长伸阻囤长赶片Valadon onry.ch Asposeslides for NET 4o dient Palveton oCreated with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,病因应力骨折、间接暴力疲劳骨折直接暴力:斜形、螺旋横断、短斜、粉碎;骨折线同一水平Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides f
4、or NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,临床表现外伤史疼痛、肿胀、功能障碍骨擦音、异常活动、畸形神经、血管损伤fractureX线片漏诊!Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,常见并发症骨缺损骨筋膜室综合症皮肤缺损感染O并发症神经血管损伤骨折畸形愈合骨折延迟愈
5、合和不愈合Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,诊断标准病史症状体征影像学外伤病史肿胀、疼畸形、肿胫骨具体明确痛、活动胀、压痛、的骨折分受限骨擦感异常活动Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides
6、 for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,骨折分型胫骨干骨折A=简单骨折B=楔形骨折C=复杂骨折A1:螺旋骨折B1:螺旋楔形C1:有二个内侧骨块A2:斜行骨折B2:弯曲楔形C2:多段C3:无规律A3:横断骨折B3:粉碎楔形Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,胫骨干骨折的治疗处理原则:恢复手法复位小腿长度、力及外固定线和持重功能治疗切开复位内固牵引定等手术治疗Evaluadon only.ch Asposeslides for NET 4o dient PEvaluation only.Created with Aspose Slides for NET 4.0 dient Profilo71Copyright 2019-2019Aspose Pty L,