6. Fracturi Membrul Pelvin
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FRACTURILE FEMURULUI
S.U.U.M.C. “”Carol Davila” Bucuresti
Clinica de Ortoedie ! Trau"atolo#ie
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Fracturile e$tre"itatii suerioare
% M. D&Au'i#ne( “este "ai utin riscant sa oere)i un 'atrandecat sa nu*l oere)i”
% +au,els( solicitarile "ecanice deter"ina structura osoasa
% Euler ( re)istenta unei coloane cu n cur'uri creste cu atratul
lor -
Rn n /0
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WARD
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Fracturile e$tre"itatii suerioare
% +ro#nostic vascular 1 ti de 2ractura
1 ti de delasare
% 3arsta 4 56 ani 007
56*89 ani -57
89*:6 ani 9-7
; :6 ani 007
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Fracturile e$tre"itatii suerioare
% Mortalitate -67 in ri"ele < luni
% Se$ =67 2e"ei
% Ti de 2ractura * 2r. col 2e"ural
* 2r. ertro>anteriene
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Fracturile colului 2e"ural
CLASIFICARE
% Cooer * intracasulare
* e$tracasulare
% Del'et * clasi2icare anato"ica
% su'caitale
% "ediocervicale% 'a)icervicale
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Fracturile colului 2e"ural
CLASIFICARE
% +au,els * dua un#>iul 2r.?<6@96@86@
% Soeur * 2r. cu cioc ro$i"al ?ne2aste +III
* 2r. cu cioc distal
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Fracturile colului 2e"ural
CLASIFICARE
% ARDE
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arden I
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arden III
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arden I3
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Fracturile colului 2e"ural
TRATAMET
Tractiunea * Rienau* “accueil ort>oediue”
%Osteosinte)a(
"anunc>i de 'rose
suru'uri
D.G.S. ?dHna"ic >i scre,
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Fracturile colului 2e"ural
TRATAMET
% ARTRO+LASTIILE
! >e"iartrolastie cu rote)a cervicoce2alica Moore
! >e"iartrolastie cu rote)a 'iolara
! artrolastie cu rote)a totala de sold
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Fracturile colului 2e"ural
IDICATII
% Fr. arden III
% 4 56 ani D.G.S.
% 56*89 ani eclectic
% ; 89 ani >e"iartrolastie cu rote)a Moore
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Fracturile colului 2e"ural
IDICATII
% Fr. arden I3
% 4 56 ani D.G.S.
% ; 56 ani rote)a MooreJ+.T.
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FRACTURILE MASI3ULUITROGATERIA
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Fracturile "asivului tro>anterian
% Deli"itare * 'a)a colului 2e"ural * -.9 c" su' "icul tro>anter
% Ender * 2r. sta'ile
* 2r. insta'ile * )id tro>anterian
* inten MerKel
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Fracturile "asivului tro>anterian
Clasi2icare
% Sta'ile0. Fr. cervicotro>anteriene?'a)icervicale
F il i l i > i
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Fracturile "asivului tro>anterian
Clasi2icare% Sta'ile
-. Fr. ertro>anteriene si"le
F t il i l i t > t i
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Fracturile "asivului tro>anterian
Clasi2icare
% Insta'ile
<. Fr. ertro>anterieneco"le$e
F t il i l i t > t i
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Fracturile "asivului tro>anterian
Clasi2icare
% Insta'ile
. Fr. intertro>anteriene
9. Fr. su'tro>anteriene
5. Fr. tro>antero*dia2i)are
F t il i l i t > t i
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Fracturile "asivului tro>anterian
Clasi2icarea
E3AS
F t il i l i t > t i
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Fracturile "asivului tro>anterian
E$a"en clinic radiolo#ic
% e$. radiolo#ic raid **; trat. recoce
% le)iuni asociate (
% dia2i)a 2e"urala / col 2e"ural% 2r. suracondiliana / col
% 2r. rotula
% 2r. e os atolo#ic ?neo "a"ar ul"onar
renal tiroida di#estiv rostata
F t il i l i t > t i
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Fracturile "asivului tro>anterian
TRATAMET
% - concetii (
% osteosinte)a elastica ?tiNe Ender
% osteosinte)a sta'ila( D.G.S. la"a laca cui
#a""a
F t il i l i t > t i
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Fracturile "asivului tro>anterian
0. OS cu tiNe Ender
F t il i l i t > t i
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Fracturile "asivului tro>anterian
-. OS sta'ila * D.G.S.
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Fracturile "asivului tro>anterian
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Fracturile "asivului tro>anterian
-. OS sta'ila *cui #a""a
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FRACTURILE DIAFIPEI FEMURALE
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% Incidenta ( % 6.87
% se$ ratio F(M 0(5
% este 967 la acienti su' <6 ani
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% Etiolo#ie ( % accident auto
% accident "oto ?:97
% ietoni
% accidente do"estice ?ac ;86ani
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% Diagnostic clinic0.Ana"ne)a * violenta trau"atis"ului
* acuitatea durerii
-.Insectie * coasa scurtatavolu"inoasa
* #a"'a si iciorul in rotatie
e$terna
* i"otenta 2unctionala totala
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% Diagnostic clinic
<. esturi i"ediate
* e$ista co"licatiiQ +ULS TA
* revenirea sau tratarea SOCULUI
* i"o'ili)area "e"'rului
* radio#ra2ii 2ata si ro2il ?/'a)in
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% Clasificare
0. Fr si"le * traiect transversal o'lic siroid
-. Fr co"le$e * traiect rincial / al < lea
2ra#"ent
<. Fr co"inutive
. Fr 'i2ocale * si"le
* co"le$e
* "ulti2ra#"entare
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
Clasi2icarea
A.O.
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% Complicatii imediate
0. Socul * uls TA 2recventa resiratorie 2acies
transiratii reci
-. Le)iuni asociate*locale( cutanate vasculare nervoase "usculare
*etaNate( lu$atie sold 2ractura cotil le). li##.
#enunc>i 2r. a"'a
*la distanta( oli2racturi olitrau"atis"e
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% Complicatii evolutive
0. E"'olia #rasa 8 7
-. Tro"'oe"'olia 06 * 00 7
<. Sesis 9 * = 7. +seudartro)a
9. Calus vicios
5. Fracturi iterative
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% TRATAMET
0. Ortoedic *
e$tensie continua
Fracturile dia2i)ei 2e"urale
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Fracturile dia2i)ei 2e"urale
% TRATAMET
-. C>irur#ical
* laca si suru'uri
* cui #a""a* D.G.S. lun#
* tiNa rosse*e"2 ?/J* )avorare
* 2i$ator e$tern
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FRACTURILE ETREMITATII DISTALE AFEMURULUI
Fr e$tre"itatii distale a 2e"urului
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Fr e$tre"itatii distale a 2e"urului
% ETIOLOIE
% caderi J de2enestrare
% ta'lou de 'ord J accidente "oto
% NaH ,alKin# citi)en ?soc lateral sriNinit
Fr e$tre"itatii distale a 2e"urului
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Fr e$tre"itatii distale a 2e"urului
% AATOMIE +ATOLOICA% 2racturi unicondiliene ?Go22a Trellat
% 2racturi suraJintercondiliene ?T3
% 2racturi co"inutive
Fr e$tre"itatii distale a 2e"urului
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e t e tat d sta e a e u u u
CLASIFICARE A.O.
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Fr e$tre"itatii distale a 2e"urului
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% LEPIUI ASOCIATE
% le)iuni vasculare nervoase
% 2racturi desc>ise -67
% oli2racturi olitrau"atis"e
Fr e$tre"itatii distale a 2e"urului
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% TRATAMET
0. Fr unicondiliene * suru'uriJ'ulon /J*laca de neutrali)are
-. Fr suraJintercondiliene
* ortoedic ( tractiune continua
* ostesinte)a cu laca "ulata
* D.C.S. ?dHna"ic condHlar scre,
* retronail
* 2i$ator e$tern
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Fr extremitatii distale a femurului
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COM+LICATII
% redoare #enunc>i
% calus vicios cu de)a$are
% sesis
% seudartro)a
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FRACTURILE ROTULEI
Fracturile rotulei
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% Os sesa"oid
% <J ro$i"ale * cartilaN articular
% co"onenta a aaratului e$tensor
% 07 din trau"atis"ele sc>eletului
% "ecanis" direct si indirect
Fracturile rotulei
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CLASIFICARE
Fracturile rotulei
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MECAISM
% direct * socul 'ordului
% indirect * contractia cvadricesului
Fracturile rotulei
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DE+LASARE
% treata * ; - "".
% diasta)is * ; < "".
Fracturile rotulei
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CLIIC
Subiectiv * durere i"otenta 2unctionala
Obiectiv * "arire de volu" /J* ec>i"o)a
* se"nul creionuluiLeziuni asociate * 2ractura 2e"ur
* lu$atie sold
* le)iuni li#a"entare
#enunc>i
Fracturile rotulei
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+ARACLIIC
radio#ra2ii 2ata si ro2il #enunc>i
Fracturile rotulei
Fracturile rotulei
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DIAOSTIC DIFERETIAL
atela 'iartita
osteocondrita disecanta
% +atella 'iartita
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Fracturile rotulei
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TRATAMET
* reducere anato"ica si 2i$are sta'ila
* 2r. 2ara delasare * a. #isat 2e"uro* #a"'ier ? . in
e$tensie <* sata"ani
Fracturile rotulei
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TRATAMET
Fracturi cu deplasare
* cerclaN
* >o'an
* atelecto"ie artialaJtotala cu
re2acerea aaratului e$tensor
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Fracturile rotulei
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COM+LICATII
* redoare de #enunc>i
* artro)a
* sesis
* seudartro)a
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FRACTURILE PLATOULUIFRACTURILE PLATOULUITIBIALTIBIAL
EtiologieEtiologie
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EtiologieEtiologie
Accidente auto "oto ?867
Caderi 'anale
Accidente de "unca sau sort
Mecanis"
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Mecanis"
Co"resie laterala (
Bistol2i*Gulten
atson*Vones
Co"resie a$iala/J*
laterali)ata
Clasi2icare
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Clasi2icare
0. Fractura unitu'ero)itara e$terna ?6*997( searare J tasare J "i$ta
-. Fractura unitu'ero)itara interna ?=*067
Clasi2icare
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Clasi2icare
<. Fractura sinotu'ero)itara ?9*097 (
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Clasi2icare
. Fractura 'itu'ero)itara
?<67 ( si"la ( T3 inversate
co"le$a
co"inutiva
Clasificarea Schatzker Clasificarea Schatzker
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Leiuni asociateLeiuni asociate
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Leiuni asociateLeiuni asociate
Fractura e$tre"itatii suerioare a eroneului
Le)iunea nervului eronier co"un
Fractura unicondiliana 2e"urala
Le)iuni "eniscale
Le)iuni li#a"entare ?li#a"ente incrucisate
Leiuni asociateLeiuni asociate
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Leiuni asociateLeiuni asociate
Le)iuni vasculare
“2racture a #an#rene”
Sindro" de
co"arti"ent
ComplicatiiComplicatii
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Complicatiip
Calus vicios de)a$are
La$itate li#a"entara cronica
Redoare articulara
onartro)a
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TratamentTratament
Conservator
C>irur#ical (
2ractura searare ( suru'uri
'uloane 2ractura tasare ( ridicare / #re2a / suru'
2ractura "i$ta ( ridicare / #re2a
'ulonaN /J* laca
2i$ator e$tern reducere ercutana / artroscoie
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Red + os sub control artroscopic
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FRACTURILE !A"BEIFRACTURILE !A"BEI
!eneralitati!eneralitati
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Fracturi e$traarticulareFracturi e$traarticulare
ravitate crescutaravitate crescuta
"ecanism de producere"ecanism de producere
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Direct ( arasocDirect ( arasoc
Indirect ( torsiune 2le$ieIndirect ( torsiune 2le$ie
Anatomie patologica
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Fracturi si"le ?557 (Fracturi si"le ?557 (
transversaletransversale
o'liceo'lice
siroidesiroide
Fracturi co"le$e (Fracturi co"le$e (
cu al treilea 2ra#"ent ?-67cu al treilea 2ra#"ent ?-67
'i2ocale'i2ocale 1 etaNate ?571 etaNate ?57 co"inutive ?=7co"inutive ?=7
Anatomie patologicaAnatomie patologica
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Leiuni ale partilor moiLeiuni ale partilor moi
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Leiuni ale partilor moiLeiuni ale partilor moi
Cutanate (
clasi2icarea ustilo * Anderson
Arteriale (
rare
co"resieJcontu)ieJrutura arteriala ervoase (
n. eronier co"un sau n. ti'ial osterior
neurora$ieJa$onot"e)isJneurot"e)is
W le)iunile nervoase se ot datora isc>e"iei
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Dia#nosticDia#nostic
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E$a"en clinicE$a"en clinic
E$a"en radiolo#icE$a"en radiolo#ic
Arterio#ra2ie ?/J* Arterio#ra2ie ?/J*
Ec>o Doler Ec>o Doler
TratamentTratament
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Ortoedic (Ortoedic (
reducere / aaratreducere / aarat
#isat#isat
TratamentTratament
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Ortoedic * containerul >idraulic&& Sar"ientoOrtoedic * containerul >idraulic&& Sar"iento
TratamentTratament
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Ortoedic ** tractiune 'iolaraOrtoedic ** tractiune 'iolara
TratamentTratament
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C>irur#ical (C>irur#ical (
osteosinte)a cu suru'uriosteosinte)a cu suru'uri
OS cu laca AO ?cuOS cu laca AO ?cu
co"resiuneco"resiune
OS cu tiNa /J* ale)aN /J*OS cu tiNa /J* ale)aN /J*)avorare)avorare
2i$ator e$tern2i$ator e$tern
Tratament c#irurgicalTratament c#irurgicalCC li i
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Ca) clinicCa) clinic
Bar'at in varsta de -0 ani olitrau"ati)at
Fractura dia2i)a ti'iala OS cu tiNa )avorata static Control radio#ra2ic
le)iuni inc>ise ale dina"i)ata la 5 sat. la = luni
tesuturilor "oi #rd. <
Tratament c#irurgicalTratament c#irurgical
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Tratament c#irurgicalTratament c#irurgical
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Complicatii precoceComplicatii precoce
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In2ectia (In2ectia ( 2racturile inc>ise ! -.<72racturile inc>ise ! -.<7
2racturile desc>ise ti I si II ! <72racturile desc>ise ti I si II ! <7
Delasarea secundaraDelasarea secundara
ecro)a cutanataecro)a cutanata
Tro"'e"'olis"ulTro"'e"'olis"ul
Sindro"ul co"arti"entalSindro"ul co"arti"ental
Complicatii tardiveComplicatii tardive
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Calusul viciosCalusul vicios
Intar)ierea in consolidareIntar)ierea in consolidare
+seudartro)a+seudartro)a
Osteita #a"'eiOsteita #a"'ei
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FRACTURILE PILO$ULUIFRACTURILE PILO$ULUITIBIALTIBIAL
Frecventa% EtiologieFrecventa% Etiologie
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07 din 2racturile #le)nei07 din 2racturile #le)nei
accidente de sc>iaccidente de sc>i
accidente de circulatieaccidente de circulatie
caderi de la inalti"ecaderi de la inalti"e
Clasificare anatomicaClasificare anatomica ?aHEvrard 0:5-?aHEvrard 0:5-
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"ar#inale antJost"ar#inale antJost
'i"ar#inale'i"ar#inale
sura"aleolaresura"aleolare
sa#italesa#itale
Clasi2icare ato#enicaClasi2icare ato#enica
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co"resieco"resie
ronatie*dorso2le$ieronatie*dorso2le$ie
adductie*torsiuneadductie*torsiune
Clasi2icareClasi2icare?RuediAll#o,er0:5:?RuediAll#o,er0:5:
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?RuediAll#o,er0:5:?RuediAll#o,er0:5:
Ti I ( 2racturi intraraticulare 2araTi I ( 2racturi intraraticulare 2ara
delasare se"ni2icativadelasare se"ni2icativa
Ti II ( 2racturi cu incon#ruentaTi II ( 2racturi cu incon#ruenta
articulara i"ortantaarticulara i"ortanta
Ti III ( 2racturi rin co"resie cuTi III ( 2racturi rin co"resie cu
i"ortanta incon#ruenta articularai"ortanta incon#ruenta articulara
si "eta2i)arasi "eta2i)ara
I II IIII II III
Dia#nosticDia#nostic
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ClinicClinic
inventar le)iuniinventar le)iuni
co"licatii locale i"ediate ( vasculo*nervoaseco"licatii locale i"ediate ( vasculo*nervoase
teren atolo#icteren atolo#ic
DiagnosticDiagnostic
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I"a#istic (I"a#istic (
radio#ra2ii centrate e interliniu F / +radio#ra2ii centrate e interliniu F / +
radio#ra2ie #a"'a / icior radio#ra2ie #a"'a / icior
radio#ra2ie dua reducereradio#ra2ie dua reducere
incidente articulareincidente articulare
sectiuni to"oJto"odensito"etricesectiuni to"oJto"odensito"etrice
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TratamentTratamentO&iectiv ' refacerea articularaO&iectiv ' refacerea articulara
Osteosinte)a ( 'roseJsuru'uriJlacaOsteosinte)a ( 'roseJsuru'uriJlaca
Fi$ator e$tern / OS "ini"aFi$ator e$tern / OS "ini"a
Artrode)a d&e"'lee Artrode)a d&e"'lee
Tractiune continuaTractiune continua
Complicatii secundareComplicatii secundare
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Co p cat secu da ep
CutanateCutanate
SeticeSetice
Delasare secundaraDelasare secundara
Sindro" al#odistro2icSindro" al#odistro2ic
Calus viciosCalus vicios
+seudartro)a+seudartro)a
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FRACTURILE "ALEOLAREFRACTURILE "ALEOLARE
FRACTURILE "ALEOLAREFRACTURILE "ALEOLARE
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Mecanis"
co"onente "ultile
co"resie
a'ductieJadductie rotatie e$terna
icior 'locat
FrecventaFrecventa
locul III dua FED silocul III dua FED si
2racturile de col2racturile de col
2e"ural2e"ural
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Leiuni elementareLeiuni elementare
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0. Traiect "aleolar e$tern
transversal transversal siroid /co"inutie
adductie rotatie a'ductie
Leiuni elementareLeiuni elementare
-. Traiect "aleolar intern <. Le)iunile acoerisului
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-. Traiect "aleolar intern <. Le)iunile acoerisului
"orte)ei
0.s"ul#ere e$traarticulara
-.2ractura tri"aleolara Cotton
<.2ractura tu'erculo*"ar#ino*"aleolara ost.
.2ractura "ar#inala ant.
Clasificare (Duparc)Clasificare (Duparc)
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Ti I ?97
adductie
Ti II ?-67
a'ductie
Clasificare (Duparc)Clasificare (Duparc)
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Ti III ?-67
rotatie e$ternasuratu'erculara
li#a"ent ti'io*eronier ant. * rut
ost. * /J* inde"n
Ti I3 ?967
rotatie e$terna intertu'erculara
li#a"ent ti'io*eronier ant. * inde"n
ost. * rut
Factori de gravitateFactori de gravitate
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Co"inutia eroneului
Fracturi asociate ale ilonului ti'ial
?2r. "ar#inala osterioara
2r. 'i"aleolara / "ar#. ost / su'lu$atie
ClinicClinic
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Fracturi rin rotatie*a'ductie (
icior in rotatie e$terna si eversiune
ti'ia se alea)a su' iele
#a"'a scurtata tendon ac>ilean concav osterior
Fracturi rin adductie (
ta'lou inversat
Complicatii imediateComplicatii imediate
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Le)iuni cutanate ( 2racturi desc>ise ti I
2lictene
Le)iuni vasculo*nervoase ( rare
Le)iuni asociate ( 2racturi la alte niveluri
TratamentTratament
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Conservator (
reducere / i"o'ili)are
W daca 2ractura era cu delasare R$ de
control dua reducere
TratamentTratament
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C>irur#ical (
OS eroneu
OS "aleola interna
reararea le)iunilor li#a"entare /J* reducerea su'lu$atiei ti'io*
astra#aliene
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FRACTURILE ASTRAALULUI
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$U astragalectomie *$U astragalectomie *
FRACTURILE ASTRAALULUIFRACTURILE ASTRAALULUI
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Fractura verticala col astragalian faraFractura verticala col astragalian faradeplasaredeplasare
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Fracturi cu deplasare col astragalianFracturi cu deplasare col astragalian
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Fractura cu
delasare col
astra#alian
reducereanato"ica si 2i$are
cu suru'uri
canulate
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Fractura prin compresiune a suprafeteiarticulare anterioara a calcaneului
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A+Fractura prin avulsie fragment superiorA+Fractura prin avulsie fragment superior
din tu&eroitatea calcaneeanadin tu&eroitatea calcaneeana
B+Reducere si fi,are prin cercla-B+Reducere si fi,are prin cercla-
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Fractura cu minima deplasare procesFractura cu minima deplasare procesmedial calcaneumedial calcaneu
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A+Fractura sustentaculum taliA+Fractura sustentaculum taliB+Imagine CTB+Imagine CT
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Fractura corp calcaneeanFractura corp calcaneean
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Fractura cominutiva calcaneu cu e,tensieFractura cominutiva calcaneu cu e,tensiela articulatiile su&talara si calaneo.la articulatiile su&talara si calaneo.
cu&oidianacu&oidiana
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