Ustɛm yu nid fɔ du ɔpreshɔn pan yu frakt?

Bɔrku tɛm, fraktrɔs kin kam wit injury na ɔda pat dɛm na di bɔdi. Insay di ɔl di tritmɛnt we dɛn de du, dɛn fɔ trit di wan dɛn we sik as ɔl.

Ɔda fɔ di Prioriti

• Sev pipul dɛn layf

• Sev di limb dɛn

• Sev di jɔyn dɛn

• Rikonstrɔkshɔn wok

  
  

Imejɛnsi ɔpreshɔn: tritmɛnt prinsipul dɛm fɔ vaskul injuri, opin fraktrɔs ɛn klos fraktrɔs.

• Opin ridyushɔn ɛn intanɛnt fikseshɔn as ali as i pɔsibul (insay 6h) .

• 48h

• 3 ~ 7d: I go mek ARDS ɛn ɔda kɔmplikeshɔn dɛn we de apin bɔku.

• 7 ~ 10d: di εndokrin riakshכn dεn dכn [di swεl dכn sכbsayd, inflameshn dεn dכn dכn].

• mכr dan 2 wik: di difikulti fכ כpεrayshכn de inkrεs εn di fכnshכn afta di כpεrayshכn de dכn.

Kɔlɔbɔn we kin brok

• we di frakshכn blכk injuri di sabklavian atεri, vein εn brachial plexus, dεn gri se na siriכs kכmplikεshכn εn dεn fכ כpεret am wantεm wantεm.

Prɔksimal humeral fraktrɔs

• we di elastik riton de apin afta manual rεdukshכn-di tεndon fכ biceps longus, we di simptom dεm fכ di aksila nεv de sho.

Fraktrɔs na di humeral shaft

• Wae dεn fכnshכn di simptom dεm fכ radial nerve injury insay fyzikal egzamin, dεn go du di כpεreshכn wantεm wantεm.

Distal humeral fraktrɔs we de na di bɔdi

• Dis kayn frakshɔn kin mek ɛni nerve ɔ blɔd vesel injuri we pas tru di ɛlbo jɔyn. 

• Di blɔd vesel dɛn we kin rɔtin nɔ kin apin so ɔltɛm, bɔt i kin gɛt tɛnsiɔn ɔ kɔmpreshɔn. 

• Fascial space syndrome-immediate insishɔn ɛn dikɔmpreshɔn.

Injuri pan olecranon, radial ed ɛn kɔmpleks ɛlbo jɔyn

• Kɔmplit di ɔpreshɔn insay wan wik.

• 1 ~ 2 wik opareshכn taboo tεm-myositis ossificans.

• Ɔpreshɔn insay 2 wiks.

  
  

Dabl fɔram fraktrɔs

• כ opin frakshכn fכ כpεret insay 6 ~ 8h afta injuri.

• dilay opεreshכn kin inkrεs di risk fכ bon brij fכmeshכn bitwin ulna εn rayus.

Distal rayus fraktrɔs

• we di fyzikal egzamεn fכnshכn se di εkstensכr pollicis longus tεndon injuri εn di midyan nεv kכmpreshכn simptom dεm apia-immediate כpεrayshכn.

Di an we brok brok

• εnfaz fכ ridyus εn intanεt fiks fכ כl tu di opin εn klos frakshכn, spεshal fכ di wan dεm we kכmplikt wit vaskulכr, nεv כ tεndon injuri, dεn fכ du כpεrayshכn kwik kwik wan.

  
  

Fraktrɔs na di bɛlɛ

• bכku tεm di pεlvik frakshכn kin kam togεda wit frakshכn na כda pat dεm, we go mek di εmodaynamik instεbiliti.

  
  

• Tritmεnt mכd fכ kכmpleks pεlvik frakshכn: 30min, 3 disizhכn dεm

• Ɔspitul ɛksplɔrɔshɔn wantɛm wantɛm fɔ stɔp blɔd

• di pεlvik fiksεshכn (C-shεp fכsεps כ εksternal fiksεshכn) de kכmplit insay 10 ~ 15min.

• afta dεn obsכv fכ 10 ~ 15min, di pasεnt stil gεt hεmodaynamik instεbiliti-opεrayshכn.

• fכ di sik pipul dεm we gεt stebul hεmodaynamiks, dεn fכ du di כpεreshכn insay 7 dez, כ 7 ~ 14 dez.

Proksimal fεmoral frakshכn-intartrochanteric frakshכn

• We di pɔsin in jenɛral kɔndishɔn dɔn ɔnda kɔntrol, dɛn fɔ du intanɛnt fikseshɔn, DHS, DCS ɛn PFN.

Proksimal fεmoral frakshכn-fεmoral nεk frakshכn

• di fεmoral nεk frakshכn, spεshal intrakapsul frakshכn kin put di bכdi saplai fכ di fεmoral ed pan denja, so i nid fכ opin rεdukshכn εn intanal fiksεshכn kwik kwik wan.

• Intanɛt fikseshɔn: < 65 ia ol

• Jɔyn riplesmɛnt: > 65 ia ol

• if imejensi כpεrayshכn nכ pכsibul, dεn kin du jכint pankshכn εn aspirashכn fכ intra-atikul εmatoma, εn dεn kin kip di hip jכint insay sεmi-flekshכn εn εksternal roteshכn posishכn.

Distal fεmoral frakshכn

• Pɔsin we gɛt siriɔs sɔft tisu injuri, opin fraktrɔs, ɔ we gɛt prɔblɛm fɔ ɔpreshɔn kwik-Super-articular external fixator.

• Imεdiεt כspitul tritmεnt fכ isolεt injuri-—DCS, rεtrogrεd intramεdula nel.

  
  

Patella Fraktrɔs we de na di bɔdi

• Di pɔsin in jenɛral kɔndishɔn stebul, ɛn di lokal skin kɔndishɔn dɛn alaw, dɛn fɔ du di ɔpreshɔn wantɛm wantɛm.

Prɔksimal tibial fraktrɔs

• Fɔ no di kayn vaylɛns we pɔsin kin gɛt we i gɛt injury

• Bɔku tɛm, di injuri we gɛt ay ɛnaji kin kam wit siriɔs sɔft tisu injuri. I kin bi se di limb dɛn kin swel, blista, di skin kin abrashɔn ɛn di skin kin swɛla. Dɛn fɔ put di ɔpreshɔn bifo dis tɛm. pan di sem tεm, dεn fכ kכl di fascial space syndrome εn vaskulεr εn nεv injuri dεm.

Fraktrɔs na di tibial shaft

• di patikyulaiti fכ anatomi-di imכpכtants fכ sכft tisu kכvεreshכn.

• Di fɔs stej: insay 8h

• Dɛn kin tek ɛksternal fiksatɔ as di fɔs tin we dɛn kin pik fɔ trit kwik kwik wan.

• Jipsɔm sɔpɔt

• Trakshɔn na di kalkan

• Faz II: na lɛk 2 wik.

• No obvious sistemik infεkshכn εn akyu trauma bin de.

• Nɔ swel ɔ ɛksudɛshɔn nɔ de na di wund.

• di blista dray, di swel de sכbכt εn yu kin tכch di bon mak dεm.

• Wrinkled skin, skin layn dɛn de apia.

Frakshכn na di distal tibia (pilon) .

di tritmεnt rizulεt fכ Pilon frakshכn dipכnt pan di kwaliti fכ di joyn rεkכnstrכkshכn εn di kכndishכn fכ sכft tisu kכvεrej.

di bεst tεm fכ כpεrayshכn dipכnt pan di kכndishכn fכ di sכft tisu:

• εli stej: di opεreshכn bin de insay 6 ~ 8h, we bin las 2 ~ 3h.

• Dilay: 7 ~ 10 dez, di swel de disappear εn di skin wrinkles de apia.

Fo tradishonal prinsipul dεm we dεn fכ fala fכ wan stej כspitul rikostrכkshכn:

• Rikonstrukshɔn fɔ di fibula

• Rikonstrכkshכn fכ di tibial artikulכr sεf

• Fɔ graft bon dɛn

• Sɔpɔt fɔ bon plet

Fraktrɔs na di anklɛ

• Anklɛ fraktrɔs na intra-atikul fraktrɔs.

• di rizin fכ tritmεnt na fכ mek di nכmal anatomical strכkchכ fכ di joyn dεm kam bak.

• di tεm we dεn de du di כpεrayshכn dipכnt pan di stet כf di sכft tisu.

• Di bɛst tɛm fɔ ɔpreshɔn na bifo ɛdima ɛn blista dɛn apia na di say we di frakt.

Fut we de brok brok

• Na di fut ston fɔ mek pipul dɛn tinap ɛn waka. fכ mek di fut in nכmal anatomical strכkchכ kam bak de ple implεnt rol fכ mek pipul dεn tinap εn waka.

• Jɔs lɛk aw dɛn kin brok di anklɛ, di tɛm we dɛn kin du di ɔpreshɔn kin dipen pan di digri ɛn di stet we di sɔft tisu dɛn kin swel.

Fraktrɔs na di spayna

• If di wan ol bɔdi stebul, dɛn fɔ ɔpreshɔn di fraktrɔs we dɛn dɔn displeys wantɛm wantɛm if nyurolɔjik simptom dɛn de.

  
  

Aw fɔ Bay Ɔtpidik Implant ɛn Ɔtpidik Instrumɛnt dɛn!

Fɔ CZMEDITECH , wi gɛt wan rili kɔmplit prodak layn fɔ ɔtpidik ɔpreshɔn implant ɛn kɔrɛspɔndɛns inschrumɛnt dɛn, di prɔdak dɛn inklud spayna implant dɛn, di nel dεm we de insay di mεdula, trauma plet, plet we de lɔk, kraynia-maksilofashial, prostɛsis we dɛn kin yuz fɔ mek pɔsin in bɔdi, pawa tul dɛn we dɛn kin yuz, eksternal fiksatɔ dɛn, atrɔskɔpi we dɛn kin du, vetɛriana kia ɛn dɛn sɔpɔtin inschrumɛnt sɛt dɛn.

Apat frɔm dat, wi dɔn mekɔp wi maynd fɔ kɔntinyu fɔ divɛlɔp nyu prɔdak ɛn mek di prɔdak layn dɛn bɔku, so dat wi go mit di ɔspitul nid fɔ mɔ dɔktɔ ɛn pasɛnt dɛn, ɛn bak fɔ mek wi kɔmni gɛt mɔ kɔmpitishɔn na di wan ol ɔtpidik implant ɛn inschrumɛnt industri na di wɔl.

Wi de ɛkspɔt ɔlsay na di wɔl, so yu kin ebul kɔntakt wi na imel adrɛs song@orthopedic-china.com fɔ wan fri kot, ɔ sɛn mɛsej na WhatsApp fɔ wan kwik ansa +86- 18112515727 .

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