herve leger toronto Long segment of femoral extern

xp574088 · Wysłany: Pią 11:31, 25 Mar 2011

Long period of external fixation of femoral comminuted fracture of the experience of 5 cases

After the traction frame fixed on the Monteggia . 1.3 supracondylar traction frame Thomas 's application of femoral shaft fracture : femoral shaft was fractured,[link widoczny dla zalogowanych], and a large bone separation. Not fixation, external fixation selected skeletal traction on femoral condyle , while Thomas 's application of the brake frame so that the thigh and solve the problem of femoral shaft fracture fixation . 1.4 left radial bone fracture treatment: patient injuries due to temporary small splints , fracture reduction is not ideal after another due to radial nerve symptoms, underwent plate fixation in January . 2 cases discussed by the treatment, I believe that the multiple fracture injuries with abdominal internal organs , the choice of treatment methods and procedures is particularly important. First address life-threatening visceral injury after injury should be taken to deal with a small fracture on the fixed and reliable method to stabilize the fracture. To ensure the smooth度过危险期patients . The patient's main problem is intestinal rupture , diffuse peritonitis,[link widoczny dla zalogowanych], laparotomy was done so first solve the problem of intestinal rupture , while probing whether other organs of the abdominal injury, did a pretty good idea . The treatment of leg fracture Monteggia selected frame is not suitable for surgical treatment of open fractures , gypsum and also ultra- tubular joints fixed, the processing of the ipsilateral thigh ,[link widoczny dla zalogowanych], and plaster to stabilize the fractures are not reliable, local wound dressing Inconvenient. Monteggia frame with the above problems can be solved ,[link widoczny dla zalogowanych], while the adjustment screws through the frame Monteggia and local adjustments to correct the position of plate fracture shortening , rotation,[link widoczny dla zalogowanych], and angular deformity . Choice for femoral shaft fractures supracondylar traction, surgery is not the case but also to a fixed method of shortening can not solve the problem of cast immobilization , and legs and frame can not be over there Monteggia arthrodesis . Splintage thigh fractures and unreliable , but also not solve the problem of shortening , so the traction to take Thomas 's use of the fixed frame , while the most effective choice.
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