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بنام خداوند جان وخرد

بنام خداوند جان وخرد. Principles of CR,ST,IF. Dr.H.Saremi Orthopaedic surgeon, Hand and Shoulder fellowship Hamedan university of medical sciences Besat Hospital. introduction. Skeletal system is very active metabolically

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بنام خداوند جان وخرد

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  1. بنام خداوند جان وخرد

  2. Principles of CR,ST,IF Dr.H.Saremi Orthopaedic surgeon, Hand and Shoulder fellowship Hamedan university of medical sciences Besat Hospital

  3. introduction Skeletal system is very active metabolically Turnover rate of 3% per year of cortical and 25% per year of cancellous bone

  4. Reduction • CR • OR

  5. fixation • CR+casting • CRIF • ORIF

  6. Fixation • Splint • Casting • Traction • External fixator • Internal fixator

  7. Closed reduction • What fx? Age soft tissue bone • What is an acceptable reduction • Alignment • Shortening • rotation

  8. CR • Technique

  9. CR

  10. CR

  11. CR

  12. CR

  13. Traction • Skin traction • Skeletal traction

  14. Skeletal traction • Skin should be prepped • Anesthesia • complications

  15. Internal fixation • Incision • Timing • Infection

  16. Internalfixation • Reduction Direct Indirect

  17. Internal fixation • Compression fixation • Lag effect • buttress

  18. Internal fixation 3)Tension band Plate Wire and screw Staple 4)Compression nailing

  19. Internal fixation • Non compression techniques Biologic fixation Cerclage

  20. Thank you

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