esempio ricostruzione sinistro con lesioni gravi

7/23/2019 ESEMPIO Ricostruzione sinistro con lesioni gravi

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Jujkqnb |nebup|z}nboj djunbon h|gyn

Qj|/ No`/ I|goejueb Jygohjdnupg ― Yng Ynoejo}b Egdnjo`b$ 7<: ― 61150 Kg|nhdngob &OG.Pjd/ 1677>7677:9 Ejdd/ 5<>8>180<0 Jkgnd/ upz`nbAnoib|pzonupnegjygohjdnupg/np

xxx/noib|pzonupnegjygohjdnupg/np Qgh/ 7

Ubkkg|nb

17 + NOEG\NEB J WZJUNPB ― BQJ\G]NBON QJ\NPGDN /////////////////////////////////////////////////////////////////////////////////////////// <

1< + E\BOBDBHNG @JDDJ BQJ\G]NBON QJ\NPGDN /////////////////////////////////////////////////////////////////////////////////////////////// 5

15 + Q\JKJUUG KJPB@BDBHNEG ////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// 0

10 + GOGDNUN @JDDJ EN\EBUPGO]J @N PJKQB J @N DZBHB P\GPPJ @GHDN GPPN J @GN \NDNJYN JIIJPPZGPN/ ///// :

1: + YJNEBDN EBNOYBDPN ― @GPN KJEEGONEN////////////////////////////////////////////////////////////////////////////////////////////////////// >

1:/17 ― GOGDNUN @JN @GOON ///////////////////////////////////////////////////////////////////////////////////////////////////////////////////////// 77

19 + GOGDNUN @JDDJ PJUPNKBONGO]J NO GPPN ////////////////////////////////////////////////////////////////////////////////////////////////// 79

18 ― GOGDNUN @JD P\GHNPPB QJ\EB\UB @GDD„GZPBYJPPZ\G J @GD KBPBENEDB //////////////////////////////////////// 78

16 + \NEBUP\Z]NBOJ ENOJKGPNEG J @NOGKNEG @JD UNONUP\B ////////////////////////////////////////////////////////////////////// 7>

1> ― EGDEBDB @JDDG YJDBENPG„ @JDDG KBPB /////////////////////////////////////////////////////////////////////////////////////////////// <7

1>/17 Egdebdb ̀ jddg yjdbenpá ̀ jdd„gzpbyjppz|g ebo nd egdebdb ̀ jd lndgoenb joj|hjpneb/////////////////////////////////// <7

1>/17/17 Dgyb|b ebkqnzpb ̀ gddg kbpb ojdd„z|pb |g`jopj ebop|b dg Ingp Pjkq|g //////////////////////////////////// <7

1>/17/1< Dgyb|b ebkqnzpb ̀ gddg kbpb qj| dg i|jogpg ///////////////////////////////////////////////////////////////////////////// <<

1>/17/15 Dgyb|b ebkqnzpb ̀ gddg kbpb qj| nd dgoenb `jd ebo`zejopj /////////////////////////////////////////////////////// <5

1>/17/10 Dgyb|b ebkqnzpb `gddg kbpb qj| ̀ jib|kg|j uj upjuug ///////////////////////////////////////////////////////////// <0

1>/17/1: Dgyb|b ebkqnzpb ̀ gddg kbpb qj| `jib|kg|j nd yjnebdb Ingp @bldü /////////////////////////////////////////// <0

1>/17/19 Dgyb|b ebkqnzpb ̀ gddg kbpb qj| uqbupg|j nd Ingp @bldü /////////////////////////////////////////////////////////// <:

16/1< Dgyb|b ebkqdjuunyb ebkqnzpb `gddg kbpb j uzg yjdbenpá ////////////////////////////////////////////////////////////////// <9

1> + EBOEDZUNBON J \NUQBUPG GD WZJUNPB /////////////////////////////////////////////////////////////////////////////////////////////////// <8




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ <

17 + NOEG\NEB J WZJUNPB ― BQJ\G]NBON QJ\NPGDN

Nd hnb|ob ………$ db ue|nyjopj ………$ |jhbdg|kjopj nue|nppb ojhdn gdln q|bijuunbogdn$

ebouzdjopj pjeoneb j qj|npb `jd P|nlzogdj `n Obdg$ glndnpgpb gdd„juj|en}nb `jddg q|bijuunboj no

noib|pzonupneg up|g`gdj$ |nejyjyg noeg|neb `n ebouzdjo}g pjeoneg `gd Unh/ …………//

Gd Ebouzdjopj Pjeoneb yjonygob q|bqbupn n ujhzjopn wzjunpn=

— \nebup|znueg dg `nogkneg `jd unonup|b up|g`gdj gyyjozpg no `gpg ………/ gddg Yng Ugo`|b

Qj|pnon `jd Ebkzoj `n Egqgeenb &UG.‛

Nd EP gewznunuej ibpbebqng `jhdn gppn no qbuujuub `jd Unh/ ……/ efj ebounupbob no ibpbebqnj

no lngoeb j oj|b `jd |gqqb|pb `jddg Qbdn}ng Kzonenqgdj nopj|yjozpg j `jddj ibpbh|ginj uegppgpj

uzlnpb `bqb nd unonup|b$ oboefî `jddg `bezkjopg}nboj |ndguengpg no ebqng `gddg ujh|jpj|ng `jddg

Q|bez|g ̀ jddg \jqzlldneg q|juub nd P|nlzogdj ̀ n Ugdj|ob/




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ 5

1< + E\BOBDBHNG @JDDJ BQJ\G]NBON QJ\NPGDN

Dj bqj|g}nbon qj|npgdn |nq|jo`jygob nd hnb|ob ………/$ gddj b|j ………//$ q|juub nd dzbhb `jd

unonup|b `byj db ue|nyjopj fg `byzpb |ndjyg|j dj knuz|g}nbon `jd egub qj| nkqdjkjopg|j dj

noebkqdjpj knuz|j q|juj `gddg Qbdn}ng Kzonenqgdj gdd„jqbeg `jd unonup|b/

@gd ……… g` bhhn ………// nd EP q|byyj`jyg g` jdglb|g|j dg |nebup|z}nboj enojkgpneg `jd

unonup|b no lguj g wzgopb gqq|jub `ghdn gppn$ j `gn |ndnjyn ibpb+qdgonkjp|nen `jddg Qbdn}ng

Kzonenqgdj nopj|yjozpg/





15 + Q\JKJUUG KJPB@BDBHNEG

Nd unonup|b efj fg ynupb ebnoybdpn nd unh/ ……… j` nd unh/ ……// æ zo z|pb dgpj|gdj `n pnqb

|g`jopj p|g zo„gzpbyjppz|g j` zo kbpbenedb/

Qj| kjhdnb |nebup|zn|j nd unonup|b un |jo`j ojejuug|nb |nq|b`z||j no uegdg dg qdgonkjp|ng |j`gppg

`gddg Qbdn}ng Kzonenqgdj `z|gopj hdn geej|pgkjopn z|hjopn qj| `jinon|j nd qzopb `„z|pb j dj

yjdbenpá `jn yjnebdn/

Ebo d„jugppg |gqq|jujopg}nboj `jd pjgp|b `jd unonup|b$ zog ybdpg n`jopninegpg dg kb`gdnpá

`jdd„z|pb$ `gd eboi|bopb `jddj ibpbh|ginj `jn `goon uzn yjnebdn$ ungkb no h|g`b `n geebupg|j

gdd„z|pb hdn upjuun j |nebup|zn|j pbpgdkjopj dg enojkgpneg `jdd„z|pb/

Pzppn n egdebdn efj un |jo`j|goob ojejuug|n$ ug|goob noib|kgpn gn q|noenqn ibo`gkjopgdn `jddg

Inuneg Edguuneg j` no qg|pnebdg|j ̀ jddg Ebouj|yg}nboj ̀ jdd„Joj|hng/

Un q|bej`j|á ̀ zowzj g egdebdg|j dg yjdbenpá ̀ n nkqgppb ebo n kjpb`n gogdnpnen p|g`n}nbogdn/




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ :

10 + GOGDNUN @JDDJ EN\EBUPGO]J @N PJKQB J @N DZBHB P\GPPJ

@GHDN GPPN J @GN \NDNJYN JIIJPPZGPN/

D„noen`jopj un æ yj|ninegpb gppb|ob gddj b|j 7</11 `jd hnb|ob ……… ojdd„glnpgpb `n Egqgeenb

Uegdb &UG.$ dbegdnpá —\jppnindb‛ Yng Ugo`|b Qj|pnon no eb||nuqbo`jo}g ……//

Inhz|g 7

Nd p|gppb `n up|g`g æ |jhbdg|kjopj guigdpgpb j` æ ebupjhhngpb `g lgoefnog j `g kg|engqnj`n/ Db

upjuub obo q|jujopg qg|pnebdg|n guqj|npá j` æ dg|hb kj`ngkjopj 9$<1 kjp|n/ D„go`gkjopb æ

|jppndnojb j qngojhhngopj/





Inhz|g < ― Yng Ugo`|b Qj|pnon no `n|j}nboj `jn yjnebdn

Obo un |ndjyg nd dnknpj `n yjdbenpá nkqbupb `g ujhogdjpneg yj|pnegdj qj|pgopb$ p|gppgo`bun `n

ejop|b glnpgpb$ juub yg nopjub no :1 ck"f/ &yj`n goefj qgh/< `jd |gqqb|pb `jn kndnpn./

Dg up|g`g qguug qj| nd ejop|b enppg`nob j` æ ebupjhhngpg g `jup|g &qj| efn dg qj|eb||j no

`n|j}nboj \beeg @„Guqn`j ebkj nd kbpbenednupg. `g zog lgoefnog zpndn}}gpg qj| dg ubupg `jddj

gzpb dg|hg en|eg <$51 kjp|n ujhznpg `g zo kg|engqnj`n dg|hb en|eg 5$91 kjp|n/

Nd dgpb bqqbupb `jddg up|g`g noyjej `nuqboj ubdpgopb `jddg lgoefnog$ dg|hg en|eg : kjp|n/

Inhz|g 5

Ojddg eg|pnog |gqq|jujopgpg no Inhz|g 7 j 5$ ej|efngpg no |buub$ dg zlneg}nboj `jddb uejog|nb

`jd unonup|b uzddg eg|pbh|ging enppg`nog |ndjygpg ̀ g Hbbhdj Kgqu/





Gd kbkjopb `jd unonup|b &dj ……/. dg ynunlndnpá ogpz|gdj j|g `nz|og j dg ynunlndnpá j|g bppnkg/

Gddj b|j ……/$ en|eg wzno`nen knozpn `bqb d„noen`jopj$ uzd dzbhb `jd unonup|b nopj|yjonyg zog

qgppzhdng `jddg Qbdn}ng Kzonenqgdj `n Egqgeenb &UG. efj q|byyj`jyg g` jujhzn|j n |ndnjyn `n

|npb/

N kndnpn nopj|yjozpn fgoob q|byyj`zpb g p|geeng|j zo h|gineb `jd dzbhb `jddg uejog `jd unonup|b

|ndjygo`b nd QQZ j dg qbun}nboj inogdj `jd kbpbenedb j `jd yjnebdb ij|kb no ubupg

&d„gzpbyjppz|g `jd Unh/ ……// noyjej j|g upgpg uqbupgpg j qg|egpg g en|eg :1 kjp|n `gd QQZ./

Qbojo`b no uegdg pgdn |ndjyg}nbon obo æ upgpb qbuunlndj upglndn|j ebo q|jenunboj dj qbun}nbon

`jn yjnebdn/ Un æ |jub `zowzj ojejuug|nb qb|pg|en uzd dzbhb `jd unonup|b j` gdezoj knuz|g}nbon

bkjuuj `gn kndnpn/

No qg|pnebdg|j æ upgpb ojejuug|nb nopj|igeeng|j n egqnugd`n V j` ^ ebo n egqnugd`n P j` D no

wzgopb pgdn ebb|`nogpj obo j|gob upgpj p|ngohbdgpj p|g db|b/

Nd h|gineb |j`gppb ̀ gn kndnpn æ ubppb |nqb|pgpb/

Inhz|g 0

Gddj knuz|g}nbon jujhznpj `gn kndnpn ubob upgpj `zowzj ghhnzopj dj ujhzjopn=





VP; 78$0 k/

VD; <1 k/

^P; 78 k/

^D; 76$< k/

Ghhnzohjo`b pgdn knuz|j un æ bppjozpb wzno`n nd ujhzjopj h|gineb=

Inhz|g :

Uz pgdj h|gineb æ upgpb qbuunlndj non}ng|j g` jujhzn|j dg |nebup|z}nboj `jd unonup|b




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ >

1: + YJNEBDN EBNOYBDPN ― @GPN KJEEGONEN

Yjnebdb Ingp Pjkq|g

P|gppgun `n gzpbyjnebdb `n igll|neg}nboj npgdngog$ kg|eg Ingp$ kb`jddb Pjkq|g$ `n ebdb|j

yj|`j `bqqnb up|gpb$ g : qb|pj gyjopj ebo eg||b}}j|ng Upgpnbo Xghbo$ pg|hgpb ……//

Dg yjppz|g |nuzdpg nopjupgpg g ……… ogpb g` ……/ nd ………/ j` nyn |jun`jopj gddg Yng Eb|ub

………

Nd yjnebdb gd kbkjopb `jd unonup|b j|g ebo`bppb `gd Unh/ ………/ ogpb g` ……// nd ……… j`

nyn |jun`jopj gddg Yng Eb|ub ………//

Yjnebdb Fbo`g Fb|ojp

P|gppgun `n kbpbyjnebdb `n igll|neg}nboj jupj|g$ kg|eg Fbo`g$ kb`jddb Fb|ojp$ `n ebdb|j

oj|b `bqqnb up|gpb$ pg|hgpb ……//

GEN Q\G

Gzpbkblndj Edzl `(Npgdng Qzlldneb \jhnup|b Gzpbkblndnupneb

Nuqj}nboj g kj}}b `jd Unupjkg Noib|kgpnyb Ejop|gdj `jdd(GEN

Jiijppzgpg nd <1"77"<177 Pg|hg LC10:0:

@GPN YJNEBDB

Bkbdbhg}nboj Pjdgnb

Igll|neg Pnqb FBO@G KBPB\ EB/ DP@ UE06 YG\/7 YJ\U/7 Edguuj"Zub KBPBENEDB " Q\NYGPB P\GUQB\PB QJ\UBOJ Gdnkjopg}nboj LJO]NOG Endno`|gpg >7> Eg||b}}j|ng KBPBENEDB Qbupn o/|b <

Qb|pgpg 775

Guun o/|b < Pg|g <>5 Cx 67$11 Qjub Ebkqdjuunyb 019 @nef/ Eboib|knpá `jd 15"1:"<11< @gpg Nkkgp|nebdg}nboj <7"1:"<11<

Q|nkg Ib|kgdnpá Q\NKG NUE\N]NBOJ YJNEBDB OZBYB `jd <9"19"<11< \/Q/ G16>5:5K Zdpnkg Ib|kgdnpá P\GUIJ\NKJOPB @N Q\BQ\NJPG( `jd 71"19"<177 \/Q/ G1>:181Z

@GPN NOPJUPG]NBOJ Nue|n}nboj ̀ jd 71"19"<177 \/Q/ G1>:181Z

Gppb UE\NPPZ\G Q\NYGPG `jd 71"19"<177





Nopjupgpg|n 7 Ygdb|j Yjnebdb Jz|b - </111$11 - Eb`nej Inuegdj

Nopjupgpg|nb

Ujuub " Pnqb Ubenjpá IJKKNONDJ @gpg `n oguenpg

Ebkzoj `n oguenpgNo`n|n}}b

GOOBPG]NBON Ozkj|b q|jej`jopn nopjupg}nbon 8 \ndguengpb ej|pninegpb `n q|bq|njpg( g ujhznpb `jdd(zdpnkg ib|kgdnpg( Obo |nuzdpgob nue|nppj nqbpjefj"q|nyndjhn Obo |nuzdpgob nue|nppn h|gygkn \ndguengpg ebqng `(ziinenb gd Q/\/G/ `n

Inhz|g 9

Dg kbpb |nuzdpgyg nopjupgpg g …// ogpb g ……// nd ………/ j` nyn |jun`jopj gddg Yng ……

Nd yjnebdb gd kbkjopb `jd unonup|b j|g ebo`bppb `gd uzb q|bq|njpg|nb/

G ujhznpb `jdd„noen`jopj nd unh/ ……… yjonyg p|guqb|pgpb gd Q|bopb Ubeeb|ub `byj hdn j|g

guujhogpg zog q|bhobun `n 51 hnb|on/

Yjnebdb Ingp @bldü

P|gppgun `n gzpbeg||b `n igll|neg}nboj npgdngog$ kg|eg Ingp$ kb`jddb @bldü$ `n ebdb|j |buub

`bqqnb up|gpb$ ebo eg||b}}j|ng iz|hbogpg$ pg|hgpb ………

GEN Q\G

Gzpbkblndj Edzl `(Npgdng Qzlldneb \jhnup|b Gzpbkblndnupneb

Nuqj}nboj g kj}}b `jd Unupjkg Noib|kgpnyb Ejop|gdj `jdd(GEN

Jiijppzgpg nd <1"77"<177 Pg|hg

@GPN YJNEBDB

Pg|hg Jupj|g Q|jej`jopj Og}nbogdnpá HJ\KGONG Bkbdbhg}nboj Pjdgnb

Igll|neg Pnqb INGP GZPB U/Q/G/ <<5]VL7G 7G INGP @BLDB Edguuj"Zub GZPBEG\\B " Q\NYGPB P\GUQB\PB EBUJ Gdnkjopg}nboj HGUBDNB Endno`|gpg 7>71 Eg||b}}j|ng IZ\HBOJ Qbupn o/|b < Qb|pgpg ::1 Guun o/|b < Pg|g 7>1: Cx 09$11 Qjub Ebkqdjuunyb 5:11

@gpg Nkkgp|nebdg}nboj 10"71"<110

Q|nkg Ib|kgdnpá Q\NKG NUE\N]/ YJNEBDB ZUGPB

`jd 19"7<"<110 \/Q/ G<1:088\





Zdpnkg Ib|kgdnpá P\GUIJ\NKJOPB @N Q\BQ\NJPG( `jd <7"18"<119 \/Q/ G778688M

@GPN NOPJUPG]NBOJ Nue|n}nboj ̀ jd <7"18"<119 \/Q/ G778688M Gppb UE\NPPZ\G Q\NYGPG `jd <1"18"<119 Nopjupgpg|n 7

Ygdb|j Yjnebdb Jz|b - 911$11 - Eb`nej Inuegdj

Nopjupgpg|nb

Ujuub " Pnqb Ubenjpá IJKKNONDJ @gpg `n oguenpg

Ebkzoj `n oguenpg

No`n|n}}b &UG. Egq

GOOBPG]NBON Ozkj|b q|jej`jopn nopjupg}nbon 7 \ndguengpb ej|pninegpb `n q|bq|njpg( g ujhznpb `jdd(zdpnkg ib|kgdnpg( Obo |nuzdpgob nue|nppj nqbpjefj"q|nyndjhn Obo |nuzdpgob nue|nppn h|gygkn

OBO EBUPNPZNUEJ EJ\PNINEG]NBOJ

Inhz|g 8

Dg yjppz|g |nuzdpg nopjupgpg g ……// ogpg g ……// nd ……// j |jun`jopj g …/ gddg Yng ……//

Nd yjnebdb gd kbkjopb `jd unonup|b j|g ij|kb no ubupg/

1:/17 ― GOGDNUN @JN @GOON

Ingp Pjkq|g

Nd yjnebdb Ingp Pjkq|g ph/ ……/ `bqb nd unonup|b æ upgpb |npn|gpb `gd uzb q|bq|njpg|nb/

@gd |gqqb|pb `jn kndnpn nopj|yjozpn un |ndjygob n ujhzjopn `goon= Uqjeefnjppb |jp|bynub|j

dgpj|gdj `jup|b |bppb/ Qojzkgpneb gopj|nb|j dgpj|gdj `jup|b uibo`gpb/ Dnjyn h|giin uzdd„nopj|g

ingoegpg ̀ jup|g/ @goon kjeegonen ̀ g geej|pg|j/

Ebkj ljo un qzü |ndjyg|j `gddj ibpb jujhznpj `ghdn upjuun kndnpn$ n —dnjyn h|giin uzdd„nopj|g

ingoegpg‛ ebounupbob noyjej ojdd„gl|gunboj `n pzppn n dgknj|gpn `jd ingoeb `jup|b$ `gd qg|gigohb

qbupj|nb|j `jdd„gzpb gd qg|gigohb gopj|nb|j/




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ 7<

Inhz|g 6

No qg|pnebdg|j d„gzpbyjppz|g q|jujopg dg |bppz|g ̀ jddb uqjeefnjppb ̀ jup|b$ oboefî dg dgej|g}nboj

`jd qojzkgpneb gopj|nb|j ̀ jup|b j dg `jib|kg}nboj ̀ jd ̀ nueb |zbpg gopj|nb|j ̀ jup|b/

Inhz|g >

Pgdn `goon$ ebkj kbup|j|jkb$ ubob efng|b no`negpb|j `n zo z|pb |g`jopj j obo bldnwzb ebuä

ebkj ubupjohbob n kndnpn ojd db|b |gqqb|pb/

Zo z|pb bldnwzb noigppn obo gy|jllj dguengpb dg p|geeng `n gl|gunboj bkbhjojg uzd ingoeb

`jup|b `jdd„gzpb kg gy|jllj nkq|juub zog ib|}g `n|jppg ebop|b n dgknj|gpn qnþ juqbupn/





Z|pb |g`jopj Inhz|g 71 Z|pb bldnwzb

Gdp|b jdjkjopb efj unez|gkjopj obo qzü no`z||j no j||b|j nd djppb|j$ æ dg p|geeng efj hdn upjuun

kndnpg|n nopj|yjozpn fgoob |ndjygpb j efj æ |nebo`zenlndj gddg i|jogpg `jddg kbpb `z|gopj

d„nkqgppb ebo d„gzpb/

Pgdn p|geej ̀ n i|jogpg ubob qj|ijppgkjopj gddnojgpj gdd„guuj ̀ jddg up|g`g/

Inhz|g 77

Kjhdnb goeb|g un |ndjyg ̀ gddg ibpbh|ging ubppb |nqb|pgpg/

J„ `zowzj jyn`jopj efj `z|gopj d„nkqgppb$ ung dg kbpb efj d„gzpb j|gob qbun}nbogpj

qg|gddjdgkjopj/




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ 7:

Inhz|g 75

Goefj nd h|gyj `goojhhngkjopb `jd iz|hboj æ efng|b no`nej `n zo ynbdjopb nkqgppb efj fg

nopj|juugpb$ bdp|j gn dgknj|gpn jupj|on$ goefj wzjddn nopj|on j` nd qgynkjopb qbupj|nb|j/

Ebkj kbup|j|jkb ojd h|gineb ubppb |nqb|pgpb$ dj `jib|kg}nbon `jd iz|hboj ubob kbdpb

q|bibo`j/

Inhz|g 70





19 + GOGDNUN @JDDJ PJUPNKBONGO]J NO GPPN

Gd db|b g||nyb uzd dzbhb `jd unonup|b$ hdn ghjopn `jddg Qbdn}ng Kzonenqgdj guuzkjygob dj

`nefng|g}nbon$ |npjozpj zpndn qj| dj noyjupnhg}nbon `jd egub$ ubdpgopb `gd Unh/ …/ efj wzn un

p|gue|nybob no ib|kg ̀ jppghdngpg/

— P|gounpgyb uz Yng U/ Qj|pnon$ `n|j}nboj `n kg|eng Egqgeenb Uegdb ― \beeg @„Guqn`j ebo

zog yjdbenpá `n <1 ck"f en|eg/ Hnzopb gdd„gdpj}}g `jd enyneb 7<9$ yjonyb ub|qguugpb uzddg kng

`jup|g `g zog kbpb$ dg wzgdj z|pgyg uzd dgpb `jup|b `jddg kng gzpbyjppz|g j $

uzeejuunygkjopj$ pj|knogyg dg uzg eb|ug ebop|b zo iz|hboj `n ebdb|j |buub efj ubupgyg uzd

dgpb `jup|b `jddg eg||jhhngpg$ ebo dg obup|g upjuug `n|jpp|nej `n kg|eng/ Pjkqjupnygkjopj

ubob uejub `gdd„gzpb j` fb q|jupgpb n q|nkn ubeeb|un gd ebo`zejopj `jddg kbpb uz``jppg/

@bqb `n efj ubob ubq|ghhnzopj `zj gklzdgo}j$ zog `jddj `zj fg p|guqb|pgpb kng kbhdnj @j

Dgz|jopnu Guuzopg e"b d„buqj`gdj `n Lgppnqghdng/ @bqb `n enü æ ubq|ghhnzopg dg qgppzhdng

`jddg Qbdn}ng Kzonenqgdj efj fg |ndjygpb d„noen`jopj ‛/

Dg ̀ nefng|g}nboj ̀ jd Unh/ ……… æ d„zoneg ̀ nefng|g}nboj |jug ojddg nkkj`ngpj}}g ̀ jn igppn/

Dg wzj|jdg ebop|b nd Unh/ ……/ æ upgpg uqb|pg en|eg `zj kjun `bqb nd unonup|b kjop|j dj

`nefng|g}nbon pjupnkbongdn ubob upgpj |juj `bqb en|eg : kjun `gn igppn/

G qg|pj dg wzj|jdg$ ubdb `zj `jddj 5 `nefng|g}nbon pjupnkbongdn |nij|nuebob `n gyj| guunupnpb gd

unonup|b no pzppj dj uzj igun/

Pzppj dj `nefng|g}nbon eboeb|`gob ojdd„giij|kg|j efj d„gzpbyjppz|g `jd Unh/ …/ u„nkkjppjyg

uzddg up|g`g Yng Ugo`|b Qj|pnon$ q|byjonjopj `gd qg|efjhhnb `jd qgoninenb ― ib|ob qbupb uzd

kg|hnoj bqqbupb `jddg up|g`g/

Pzppn giij|kgob efj$ q|byjonjopj `gd qg|efjhhnb `jd ib|ob$ nd yjnebdb `jd Unh/ …// un

nkkjppjyg uzddg up|g`g j` nkqgppgyg dg kbpb ueghdngo`bdg uzd iz|hboj no ubupg/

Nd Unh/ ………/ ojddg nkkj`ngpj}}g `jn igppn fg noyjej uzlnpb `jppb efj qj|eb||jyg

|jhbdg|kjopj Yng Qj|pnon wzgo`b dg kbpb pjopgyg `n uzqj|g|db uzddg `jup|g go`go`bdb

g` nkqgppg|j j inojo`b dg q|bq|ng eb|ug ebop|b nd iz|hboj no ubupg/





18 ― GOGDNUN @JD P\GHNPPB QJ\EB\UB @GDD„GZPBYJPPZ\G J @GD

KBPBENEDB

No lguj gddj pjupnkbongo}j$ d„gzpbyjppz|g un nkkjppjyg uz Yng U/ Qj|non q|byjonjopj `gd

qg|efjhhnb `jd ib|ob/@gd h|gineb ubppb un |ndjyg efj dg `nupgo}g dnojg|j `gd yg|eb `jd qg|efjhhnb `jd ib|ob inob gd

QQZ æ `n en|eg <8 kjp|n/

Inhz|g 7: Jeeb `zowzj nd qj|eb|ub efj nd Unh/ ……/$ ujebo`b dj pjupnkbongo}j |juj$ fg igppb q|nkg `n

nkqgppg|j dg kbpb/

Inhz|g 79





Uj gyjuuj igppb zog kgoby|g |jppndnojg &gdwzgopb nkq|blglndj.$ d„gzpb gy|jllj qj|eb|ub en|eg

<8 kjp|n/

Pgdj `nupgo}g$ qg|pjo`b `g ij|kn æ ebqj|pg$ ujebo`b dj pgljddj no zub$ no en|eg 8+6 ujebo`n/

Inhz|g 78

Ebkj un jynoej `gddg pgljddg$ `juzopg `ghdn upz`n uqj|nkjopgdn qzlldnegpn ojhdn gppn `jd YNN

eboyjhob GUGNU <171 & Gogdnun enojkgpneg `g `gpn geejdj|b kjp|nen `jddj kgoby|j ebo`bppj ebo yjnebdn

no nkknuunboj ojddj nopj|uj}nbon/ @n Gdjuugo`|b Kz||b/ Qgh/ :6 j :> /.$ zo yjnebdb$ qg|pjo`b `g ij|kb$

ebo zog kgoby|g kj`ng `n uybdpg g unonup|g no 0 ujebo`n qzü ebq|n|j gd kguunkb 75 kjp|n/

Eboun`j|go`b efj dg Ingp Pjkq|g fg qj|eb|ub en|eg &gdkjob. <8 kjp|n$ æ efng|b efj no kj`ng

beeb||bob en|eg 8+6 ujebo`n g ebq|n|j pgdj ̀ nupgo}g/

Ojd q|nkb egub `zowzj qnþ uigyb|jybdj gd ebo`zejopj `jdd„gzpbyjppz|g Ingp Pjkq|g

&`nupgo}g qj|eb|ug `n <8 kjp|n.$ uj nd ebo`zejopj `jddg kbpb gyjuuj pjozpb dg yjdbenpá

eboujopnpg `n :1 ck"f &75/66 k"u.$ db upjuub gy|jllj hb`zpb `n en|eg 777 kjp|n qj| qbpj|

gyynupg|j nd qj|nebdb j qb||j no juuj|j zog wzgdungun kgoby|g `n jkj|hjo}g/

J„ obpb noigppn efj g` zog yjdbenpá `n :1 ck"f$ db uqg}nb `n g||jupb$ eboun`j|gpb goefj nd

pjkqb qunebpjeoneb `n |jg}nboj `n en|eg 7 ujebo`b$ æ `n en|eg <9 kjp|n/ &en|eg 6: kjp|n no

kjob `jddb uqg}nb `n ezn `nuqbojyg dg kbpb/.

J„ gqqg|ub `zowzj uzlnpb qgdjuj efj dg kbpb obo q|bej`jyg gddg yjdbenpá eboujopnpg/

Ebkj noigppn go`|jkb g yj`j|j ojd egqnpbdb `j`negpb$ dg kbpb ynghhngyg ljo bdp|j nd dnknpj `n

yjdbenpá eboujopnpb/




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ 7>

16 + \NEBUP\Z]NBOJ ENOJKGPNEG J @NOGKNEG @JD UNONUP\B

Gd inoj `n |nebup|zn|j eb||jppgkjopj nd unonup|b$ ebkj hná uqnjhgpb no q|jkjuug kjpb`bdbhneg$

`bllngkb go}npzppb jujhzn|j zog `nugknog `jn `goon uzn yjnebdn j qbun}nbog|dn gd kbkjopb

`jdd„z|pb/

Dj ibpbh|ginj$ |jdgpnyj gn yjnebdn yjozpn no ebddnunboj$ zonpgkjopj gddj p|geej |ndjygpj uzd

kgopb up|g`gdj j |jdgpnyj gd QQZ j` gddg i|jogpg `jddg kbpb `z|gopj d„z|pb ebo dg Ingp Pjkq|g

qb|pgob gddg qnþ q|blglndj eboinhz|g}nboj gdd„z|pb `jd unupjkg gzpb kbpb efj æ wzjddg

ujhzjopj=

Inhz|g 76

Gllngkb qbn dg enpgpg iguj `n i|jogpz|g `jddg kbpb no ezn dg upjuug nkq|nkj uzd kgopb

up|g`gdj dj p|geej |ndjygpj `gn kndnpn nopj|yjozpn &no`negpg ebo dj i|jeejppj |buuj./

J„ no wzjupg iguj efj$ `bqb gyj| ebddnub dzohb pzppb nd ingoeb `jup|b `jdd„gzpb j` gyj|

qj|ib|gpb db qojzkgpneb j `jib|kgpb nd ej|efnb |zbpg gopj|nb|j `jup|b `jddg upjuug$ dg kbpb

`jyng g `jup|g inob g` nkqgppg|j ebop|b nd iz|hboj no ubupg/




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ <1

Inhz|g 7>

Ojd ynbdjopb nkqgppb dg kbpb `jib|kg uj upjuug j` nd iz|hboj$ dgoeng nd ebo`zejopj ebop|b nd

dzobppb qbupj|nb|j `jd iz|hboj j db uqbupg `n en|eg 0 kjp|n j obo < ebuä ebkj giij|kg dg

Qbdn}ng Kzonenqgdj/

Inhz|g <1





Gyjo`b inuugpb dg qbun}nboj |jenq|beg `jn `zj gppb|n j hdn uqbupgkjopn `jn yjnebdn$ ungkb b|g

no h|g`b `n non}ng|j dg obup|g |nebup|z}nboj enojkgpneg j `nogkneg/

1> ― EGDEBDB @JDDG YJDBENPG„ @JDDG KBPB

@n ujhznpb go`ngkb g egdebdg|j dg yjdbenpá efj gyjyg nd yjnebdb noyjupnpb|j gd kbkjopb

`jdd„nkqgppb zpndn}}go`b nd kjpb`b edguuneb `jd lndgoenb joj|hjpneb/

1>/17 Egdebdb `jddg yjdbenpá `jdd„gzpbyjppz|g ebo nd egdebdb `jd lndgoenb joj|hjpneb

No wzjupb egub$ pzppn n dgyb|n efj un ubob ebkqnzpn ubob `g eboun`j|g|un `byzpn gddg joj|hng

enojpneg qbuuj`zpg `gddg kbpb

@gd pj|}b q|noenqnb `jddg `nogkneg=

∗; ne D J

@byj= Je ; joj|hng enojpneg qbuuj`zpg `gddg kbpb

Dn ; yg|n dgyb|n efj juug ebkqnj

Gogdn}}j|ü$ wzg `n ujhznpb$ zob g` zob pzppn n yg|n dgyb|n efj ubob upgpn ebkqnzpn `gdd„gzpb

ebknoengo`b `g wzjddb ebkqnzpb qj| dg i|jogpg/

D„jwzg}nboj efj en p|byj|jkb g |nubdyj|j qj| nd egdebdb ̀ jddg yjdbenpá ug|á dg ujhzjopj=

uq` i D D DkY ##;<

<

7

Ojd egub no jugkj obo ubob upgpj |ndjygpj knuz|j `jddj p|geej `n i|jogpg dguengpj `gdd„gzpb3

qb||ü `zowzj wzjupb pj|knoj qg|n g }j|b/

1>/17/17 Dgyb|b ebkqnzpb `gddg kbpb ojdd„z|pb |g`jopj ebop|b dg Ingp Pjkq|g

Pgdj æ nd dgyb|b ebkqnzpb `gddg kbpb qj| q|bybeg|j n `goon uzddg ingoegpg `jddg Ingp Pjkq|g/

777 u i hk D k ⋊⋊⋊;




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ <<

Qj| hdn z|pn |g`jopn$ hdn upz`n `jd @bpp/ Ij||g|n eboujopbob `n zpndn}}g|j zo uzqj| gpp|npb no

ubupnpz}nboj `jn ygdb|n h j` i/

Pgdj uzqj| gpp|npb$ qj| nd egub uqjenineb æ g`bppgpb no 7< k"u<

efj æ nd q|b`bppb `n >$67 &h. j

7$<< &i.

Un gy|á qj|pgopb=

kg ; 595 Kguug `jddg kbpb # ebo`zejopj

h-i 7 ; 7< Uzqj| gpp|npb

u7 ; 5$>< Dzohfj}}g z|pb |g`jopj

Inhz|g <7

Un gy|á qj|pgopb=

M D :$7818:><$57<5957 ;⋊⋊;

1>/17/1< Dgyb|b ebkqnzpb `gddg kbpb qj| dg i|jogpg

Ebkj goefj dg Qbdn}ng Kzonenqgdj fg jyn`jo}ngpb$ `z|gopj d„z|pb |g`jopj ebop|b dg Pjkq|g$dg kbpb fg nkq|juub uzd kgopb up|g`gdj n ujhon `jhdn qojzkgpnen$ no`nej efj dg kbpb j|g no

iguj `n i|jogpg `z|gopj pgdj nkqgppb/ Pgdj æ d„joj|hng uqjug `gddg kbpb qj| nkq|nkj|j dj

p|geej hbkkbuj uzd kgopb up|g`gdj/

i i k i u i hk D ⋊⋊⋊;

@byj=

kq ; 595 kguug `jddg kbpb # ebo`zejopj





i i ; 1$6 ebjiinenjopj `n gpp|npb

ui ; 0$55 # 7$: p|geej `n i|jogpg

Inhz|g <<

Un gy|á qj|pgopb=

M D i 9$79916.:$755$0&6$167$>595 ;#⋊⋊⋊;

1>/17/15 Dgyb|b ebkqnzpb `gddg kbpb qj| nd dgoenb `jd ebo`zejopj

Un æ nqbpn}}gpg pgdj `nupgo}g no en|eg < kjp|n$ eboun`j|go`b efj nd ebo`zejopj `jddg kbpb æ

upgpb ulgd}gpb ebop|b nd dzobppb `jd iz|hboj qj| qbn eg`j|j gd uzbdb no zo dzbhb obo no`negpb

`gn kndnpn nopj|yjozpn/

<<< u i hk D e ⋊⋊⋊;

@byj=

ke ; 81 Kguug `jd ebo`zejopj

i < ; 1$> Ebjiinenjopj ̀ n gpp|npb ̀ jd qj`boj uz guigdpb7

u< ; < @nupgo}g `n dgoenb `jd qj`boj

Un gy|á qj|pgopb=

7Pgljddg 75 ― Qgh/ 557 ― \nebup|z}nboj `jddg `nogkneg `jhdn noen`jopn up|g`gdn ― @g|nb Ygohn ― In|jo}j Zonyj|unp~ Q|juu





M D 7<59<>$167$>81< ;⋊⋊⋊;

1>/17/10 Dgyb|b ebkqnzpb `gddg kbpb qj| `jib|kg|j uj upjuug

No wzjupb qg|gh|gib jop|g no hnbeb nd kjpb`b `jddj JJU &Joj|h~ Jwznygdjop Uqjj`./

Ujebo`b pgdj kjpb`b un qg|ghbog d„joj|hng `n `jib|kg}nboj `jd yjnebdb gddg joj|hng enojpneg

`jd yjnebdb efj ynghhng gddg yjdbenpá `n 8$18 k"u/

Ojd egub no jugkj$ nd ygdb|j `jddg JJU `jd yjnebdb Fbo`g Fb|ojp un guuzkj qg|n g 5<ck"f

&6$55 k"u. no wzgopb guunkndglndj gd ygdb|j JJU egdebdgpb qj| nd yjnebdb `n ujhznpb

|gqq|jujopgpb j q|jujopj ojd egpgdbhb JJU/

Inhz|g <5

M JJU k D`k 7$77:7<6:$86:$709.66$6&<>5<

7.&

<

7 <<;⋊;⋊⋊;;

1>/17/1: Dgyb|b ebkqnzpb `gddg kbpb qj| `jib|kg|j nd yjnebdb Ingp @bldü

Ebo db upjuub kjpb`b go`ngkb g ygdzpg|j d„joj|hng ̀ n ̀ jib|kg}nboj ̀ jd Ingp @bldü




xxx/noib|pzonupnegjygohjdnupg/np S@nhnpg|j nd pjupb[ Qgh/ <:

Ojd egub no jugkj$ nd ygdb|j `jddg JJU `jd yjnebdb Ingp @bldü un guuzkj qg|n g 76 ck"f

&: k"u. no wzgopb guunkndglndj gd ygdb|j JJU egdebdgpb qj| nd yjnebdb `n ujhznpb |gqq|jujopgpb

j q|jujopj ojd egpgdbhb JJU/

Inhz|g <0

M JJU k D`g :$<5758<::$><::7>1:<7.&

<7 <<

;⋊;⋊⋊;;

1>/17/19 Dgyb|b ebkqnzpb `gddg kbpb qj| uqbupg|j nd Ingp @bldü

N kndnpn fgoob no`negpb dg `nupgo}g —g` beefnb‛ `n en|eg < kjp|n `n uqbupgkjopb `jd @bldü/

Eboun`j|go`b qj|ü dg qbun}nboj `jddg kbpb efj un æ g||jupgpg q|juzknlndkjopj ojd qzopb `n

nkqgppb ebo nd @bldü jkj|hj efj wzjup„zdpnkb fg uzlnpb zob uqbupgkjopb `n en|eg 5$86

kjp|n/

<< u i hk D guq ⋊⋊⋊;

@byj=

kg ; 7>1: Kguug `jd @bldü

i <

; 1$9 Ebjiinenjopj ̀ n gpp|npb ̀ jd @bldü ij|kb ebo kg|eng nouj|npg/





u< ; 5$86 @nupgo}g `n uqbupgkjopb

Inhz|g <:

Un gy|á qj|pgopb=

M Duq 0$0<56086$59$167$>7>1: ;⋊⋊⋊;

16/1< Dgyb|b ebkqdjuunyb ebkqnzpb `gddg kbpb j uzg yjdbenpá

Ebkj gyjygkb `jppb nd dgyb|b pbpgdj ebkqnzpb j wzno`n dg Joj|hng Enojpneg pbpgdj qbuuj`zpg

`gddg kbpb æ `gpb `g=

∗; ne D J

Qbn ugqqngkb efj=

<

<7 ky J e ;

@g ezn=

k

kk

DY

∗;

<





Oj `j|nyg efj=

fckuk

Y k

" :1$>> " 90$<87>$890

<>5

.0$0<560:$<57587$77:7<7<599$79916:$7818:&<

;;

;#####⋊

;

1> + EBOEDZUNBON J \NUQBUPG GD WZJUNPB

N egdebdn jujhznpn fgoob qj|kjuub `n upnkg|j dg yjdbenpá efj dg kbpb gyjyg q|nkg

`jdd„nkqgppb= en|eg 711 ck"f

Gddg dzej `jddg obup|g |nebup|z}nboj enojkgpneg j `nogkneg qbuungkb |nguuzkj|j dg `nogkneg

`jd unonup|b no bhhjppb/

Go`go`b g |negogdn}}g|j `zowzj wzgopb hná geejoogpb ojd egqnpbdb 8 &Gogdnun `jd qj|eb|ub

`jn `zj yjnebdn.$ yj`ngkb efj `g wzgo`b d„gzpbyjppz|g Ingp Pjkq|g ebo`bppg `gd Unh/ ……//

fg non}ngpb dg kgoby|g `n nkknuunboj uzddg up|g`g$ inob g wzgo`b æ gyyjozpb d„nkqgppb ebo dg

kbpb ebo`bppg `gd Unh/ @n \joog Hgjpgob$ ubob beeb|un en|eg 8+6 ujebo`n/Eboun`j|gpb efj g 711 ck"f un qj|eb||bob en|eg <6 kjp|n gd ujebo`b$ oj `j|nyg efj dg kbpb

j|g g en|eg <<1 kjp|n `n `nupgo}g `gd QQZ/

J„ efng|b efj kgn nd ebo`zejopj `jddg Pjkq|g gy|jllj qbpzpb nkkghnog|j efj zo yjnebdb

pgopb `nupgopj qbpjuuj juuj|j zo qj|nebdb j` jujhznyg |jhbdg|j nkknuunboj uzddg up|g`g/

Qj| egzuj obo yj|nineglndn nd kbpbenedb$ inob g en|eg <8 kjp|n q|nkg `jdd„nkqgppb$ obo fg

g}nbogpb nd unupjkg i|jogopj &en|ebupgo}g |ndjyglndj `gdd„non}nb `jddj p|geej `n i|jogpg ubdb no

q|buunknpá `jd QQZ./

Pgdj kgoego}g `g qg|pj `jd ebo`zejopj `jddg kbpb qzü unhonineg|j b efj nd ebo`zejopj `jddg

upjuug j|g `nup|gppb j un æ geeb|pb ubdb 51 kjp|n q|nkg `jddg q|jujo}g `jdd„gzpb$ bqqz|j$ ebkj

ubupnjoj nd ebo`zejopj `jdd„gzpb Ingp Pjkq|g$ efj dg kbpb upjuuj bqj|go`b zog kgoby|g `n

ub|qguub gddg `jup|g `jd uzb yjnebdb/



Qj| No` I|goejueb Jygohjdnupg Yng Ynoejo}b Egdnjo`b 7<: 61150 Kg|nhdngob &OG.

No bhon egub æ efng|b j qgdjuj efj d„nkqgppb p|g n `zj yjnebdn æ gyyjozpb wzgo`b hdn upjuun

gyjygob zog qbun}nboj qg|gddjdg p|g db|b ebuä ebkj gkqngkjopj kbpnygpb ojd egqnpbdb

`j`negpb gn `goon |ndjygpn uzn yjnebdn/

Dg |juqbouglndnpá `jd unonup|b efj en fg beezqgpn æ qj|pgopb gue|nynlndj juedzunygkjopj gd Unh/

……// j` no qg|pnebdg|j=

Nd Unh/ ……// qj|eb||jyg zo p|gppb `n up|g`g zlnegpb ojd ejop|b glnpgpb g` zog yjdbenpá `n en|eg

711 ck"f dg``byj dg yjdbenpá eboujopnpg æ `n :1 ck"f3

Nd Unh/ ………$ q|juzknlndkjopj bqj|gyg ub|qguub g `jup|g gn `goon `jd yjnebdb Ingp Pjkq|g

j` no zog up|g`g byj nd ub|qguub æ ynjpgpb `gddj up|nuej dbohnpz`nogdn ebopnozj/

Ojuuzog noi|g}nboj æ gpp|nlznlndj gd Unh/ ……// no wzgopb db upjuub gyjyg hná gkqngkjopj

pj|knogpb dg kgoby|g `n uybdpg g unonup|g j kgn qbpjyg nkkghnog|j nd ubq|ghhnzohj|j `n zog

kbpb g pgdj jdjygpnuunkg yjdbenpá/

Kg|nhdngob……Qj|/ No`/ I|goejueb Jygohjdnupg

esempio ricostruzione sinistro con lesioni gravi

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