24 fractura
TRANSCRIPT
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FRACTURAS OSEAS
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Pregrado – Dr Yee
ETIOLOGI
A
FRACTURAS PRODUCIDAS EXCLUSIVAMENTE POR UN
TRAUMATISMO BRUSCO.
DIRECTA .- INDIRECTA.-
FRACTURAS PATOLOGICAS.
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Pregrado – Dr Yee
MECANISMO DIRECTO
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Pregrado – Dr Yee
MECANISMO INDIRECTO
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Pregrado – Dr Yee
Mecanismo
• INDIRECTO:
COMPRESIÓN
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INTEGRIDAD TEGUMENTOS
Fx. CERRADAFx. ABIERTA
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Pregrado – Dr Yee
FRACTURAS ABIERTAS Y CERRADAS
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Pregrado – Dr Yee
TIPOS DE FRACTURAS
• FRACTURAS DE TRAZO CAPILAR O FISURAS.• FRACTURAS SIMPLES.• FRACTURAS MULTIFRAGMENTARIAS.
• FRACTURAS POR COMPRESIÓN • FRACTURAS POR ARRANCAMIENTO.• FRACTURAS IMPACTADAS.• FRACTURAS INTRAARTICULARES.• FRACTURAS EN TALLO VERDE.
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Pregrado – Dr Yee
FRACTURAS SIMPLES:
1.F. TRANSVERSAL SIMPLE.
2 F. OBLICUAS SIMPLES.
3 F. .ESPIROIDEAS SIMPLES
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Pregrado – Dr Yee
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Pregrado – Dr Yee
FRACTURAS MILTIFRAGMENTARIAS
• F. ESPIROIDEA EN CUÑA
• F. EN CUÑA ANGULADA
• F. EN CUÑA FRAGMENTADA
• F. CONMINUTAS COMPLEJAS
• F. SEGMENTARIAS COMPLEJAS
• F. IRREGULARES COMPLEJAS
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Pregrado – Dr YeeFRACTURAS POR COMPRESION Y ARRANCAMIENTO
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Pregrado – Dr Yee
FRACTURAS INTRAARTICULARES
• F. ARTICULARES PARCIALES• F. ARTICULARES COMPLETAS• F. SITUADA CERCA DE UNA ARTICULACIÓN
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• Fx INTRACAPSULAR
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–Fx. EXTRACAPSULAR
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Pregrado – Dr Yee
• Fx. ARTICULAR
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Pregrado – Dr Yee
DESPRENDIMIENTO EPIFISARIO
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Pregrado – Dr Yee
FRACTURAS EN TALLO VERDE
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Pregrado – Dr Yee
• Fx. TERRENO PATOLOGICO
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Pregrado – Dr Yee FRAGMENTOS
• Fx. BIFRAGMENTARIA
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Pregrado – Dr Yee
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Pregrado – Dr Yee
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Pregrado – Dr Yee
FRAGMENTOS• Fx.
TRIFRAGMENTARIA
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Pregrado – Dr Yee
FRAGMENTOS
• Fx. MULTIFRAGMENTARIA
• Fx. SEGMENTARIA• Fx. CONMINUTA
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Pregrado – Dr Yee
DESPLAZAMIENTOS
• Fx. ANGULADA
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Pregrado – Dr Yee
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Pregrado – Dr Yee
ESTABILIDAD
• Fx. ESTABLE
• Fx. INESTABLE
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Pregrado – Dr Yee
CONSOLIDACION DE LAS FRACTURAS
• FASE DE HEMATOMA.• FASE DE PROLIFERACIÓN CELULAR
SUBPERIÓSTICA Y ENDÓSTICA.• FASE DE CALLO.• FASE DE CONSOLIDACIÓN.• FASE DE REMODELACIÓN.
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Pregrado – Dr Yee
CONSOLIDACION
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Pregrado – Dr Yee
FACTORES QUE INFLUYEN SOBRE LA VELOCIDAD DE CONSOLIDACIÓN.
- FACTORES FAVORABLES - APORTE ABUNDANTE DE SANGRE A LOS FRAGMENTOS
OSEOS- LA INMOVILIZACIÓN.
• FACTORES QUE RETARDAN
- INFECCIÓN DEL HUESO. - INTERPOSICIÓN DE PARTES BLANDAS. - INVASIÓN DEL HUESO POR UN TUMOR. - SEUDOARTROSIS.
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Pregrado – Dr Yee
PRONOSTICO
• DE TIPO DE FRACTURAS.
• DE LAS DEMÁS LESIONES TRAUMATICAS QUE EVENTUALMENTE LA ACOMPAÑAN.
• DE LAS CONDICIONES GENERALES DEL PACIENTE.
• DE LAS COMPLICACIONES QUE PUEDEN SOBREVENIR
• DEL TRATAMIENTO APLICADO.
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Pregrado – Dr Yee
TRATAMIENTO
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Pregrado – Dr Yee
• ARTROPLASTIA
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Pregrado – Dr Yee
• FIJACIÓN EXTERNA
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Pregrado – Dr Yee
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Pregrado – Dr Yee
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Pregrado – Dr Yee
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Pregrado – Dr Yee
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Pregrado – Dr Yee
• OSTEOSÍNTESIS
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Pregrado – Dr Yee
• OSTEOSÍNTESIS
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Pregrado – Dr Yee
• OSTEOSÍNTESIS
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Pregrado – Dr Yee
• OSTEOSÍNTESIS
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Pregrado – Dr Yee
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Pregrado – Dr Yee
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Pregrado – Dr Yee
• PSEUDOARTROSIS
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Pregrado – Dr Yee
• PSEUDOARTROSIS
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Pregrado – Dr Yee
• Fx. CONSOLIDACION VICIOSA
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Pregrado – Dr Yee
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TOMOGRAFIA