principles of immobilization

7/23/2019 Principles of Immobilization

1/27

PRINCIPLES OFIMMOBILIZATION- NAILS

AND PLATES

DR SIVANEASAN KANDIAH

SUPERVISOR : DR TAN Y J


2/27

Fundamena!" #$ $%a&u%e %eam

Redu&'#n

Imm#('!')a'#n

P%e"e%*a'#n #$ $un&'#n


3/27

Ind'&a'#n" $#% 'mm#('!')a'#n

T# +%e*en d'"+!a&emen #% an,u!a'#n #$ e $%aT# +%e*en m#*emen a m', 'ne%$e%e .' u

T# %e!'e*e +a'n/


4/27

Me#d" #$ 'mm#('!')a'#n

C#n"e%*a'*e S%a++'n,

S!'n, #% &a"

B%a&e

T%a&'#n

O+e%a'*e E0e%na! 10a'#n

Ine%na! 10a'#n


5/27

E0e%na! 10a'#n

A $%a&u%e ma2 (e e!d (2 %an"10'n, "&%e." #%en"'#ned .'%e" a +a"" %#u, e (#ne a(#*(e!#. e $%a&u%e and a%e aa&ed # an e0e%n$%ame/

T'" '" e"+e&'a!!2 a++!'&a(!e # e '('a and +e!*

e me#d '" a!"# u"ed $#% $%a&u%e" #$ e $emuume%u"3 !#.e% %ad'u" and e*en (#ne" #$ e a


6/27

E0e%na! 10a'#n : Ind'&a'#n

F%a&u%e" a""#&'aed .' "e*e%e "#$-'""ue dama,e 4'n&!ud'n$%a&u%e"5 #% #"e a a%e nam'naed3 .e%e 'ne%na! 10a%'"62 and %e+eaed a&&e"" '" needed $#% .#und 'n"+e&'#n3 d%+!a"'& "u%,e%2

F%a&u%e" a%#und 7#'n" a a%e +#en'a!!2 "u'a(!e $#% 'ne%n(u e "#$ '""ue" a%e ## ".#!!en # a!!#. "a$e "u%,e%28 e%"+ann'n, e0e%na! 10a#% +%#*'de" "a('!'2 un'! "#$-'""ue

'm+%#*e/ N#n un'#n $%a&u%e"3 .'& &an (e e0&'"ed and m+%e""ed8 "

'" '" m('ned .' (#ne !en,en'n, # %e+!a&e e e0&'"ed

In$e&ed $%a&u%e"3 $#% .'& 'ne%na! 10a'#n m', n# (e "u

Se*e%e mm'nued #% un"a(!e $%a&u%e


7/27

E0e%na! 10a'#n '" .'de!2 u"ed $#% 9dama,e n%#!

Image : em+#%a%2 "a('!')a'#n #$ $%a&u%e" 'n #%de% # a!!+a'en" ,ene%a! nd''#n #% e "ae #$ "#$ '""ue" # 'm+%'#% # de1n''*e "u%,e%2


8/27


9/27

Un'+!ana% Un'!ae%a!

B'!ae%a!

P'n %an"10e" e0%em'2

B'+!ana% Un'!ae%a!

B'!ae%a!

C'%&u!a% 4R'n, F'0a#%5 Ma2 u"e Ha!$-+'n" and;#% %an"10'#n .'%e"

H2(%'d C#m('ne" %'n," .' +!ana% $%ame"

Unilateral uniplanar Unilate


10/27

I!')a%#*


11/27

H2(%'d

C#m('ne" ead*ana,e" #$%'n, 10a#%" 'n+e%'a%'&u!a% a%ea".' "'m+!'&'2 #$+!ana% a!$ +'n10a#%" 'nd'a+2"ea! (#ne


12/27

Ren"%u&'#n


13/27

E0e%na! 10a'#n : C#m+!'&a'#n

Dama,e # "#$-'""ue "%u&u%e"T%an"10'n, +'n" #% .'%e" ma2 'n7u%e ne%*e" #% *e""e!"3 #%

ee% !',amen" and 'n'(' 7#'n m#*emen/ Te "u%,e#n#%#u,!2 $am'!'a% .' e &%#""-"e&'#na! ana#m2 (e$##+e%a'n,/

O*e%d'"%a&'#n I$ e%e '" n# na& (e.een e $%a,men"3 un'#n '" un!

P'n-%a&6 'n$e&'#nT'" '" !e"" !'6e!2 .' ,##d #+e%a'*e e&n'


14/27

Ine%na! 10a'#n 8 Ind'&a'#n

P%#*'de ea%!2 n%#! #$ !'m( $%a&u%e" .en n"e%*me#d" .#u!d 'ne%$e%e .' e mana,emen #$ #"e*e%e 'n7u%'e"3 $#% 'n"an&e #$ e ead3 #%a0 #% a

Se&u%e 'mm#('!')a'#n #$ e $%a&u%e and # a!!#. em#('!'2 #$ e +a'en3 e/,/ 'n e e!de%!2 +a'en .'%#&ane%'& '+ $%a&u%e

=en ' a" (een ne&e""a%2 # #+e%ae u+#n a $%a&"e&u%e ade


15/27

Me#d" #$ 'ne%na! 10a'#n

P!ae"

In%amedu!!a%2 na'!


16/27

P!ae"

Neu%a!')a'#n .en u"ed # (%'d,e a $%a&u%e and "u++!emen e e>e&

'ne%$%a,mena%2 !a, "&%e."8 e +!ae '" # %e"'" #%


17/27

Bu%e""'n, e%e e +!ae +%#+" u+ e 9#*e%an, #$ e e0+anded mea+

!#n, (#ne" 4e/,/ 'n %ea'n, $%a&u%e" #$ e +%#0'ma! '('a! +!a

Ten"'#n-(and u"'n, a +!ae 'n '" manne%3 a,a'n #n e en"'!e "u%$a&e #$

a!!#." m+%e""'#n # (e a++!'ed # e ('#me&an'&a!!2 m#%e

ad*ana,e#u" "'de #$ e $%a&u%e/ An'-,!'de

(2 10'n, a +!ae #*e% e '+ #$ a "+'%a! #% #(!'


18/27

Neu%a!')a'#n +!a'n,

Te .# !a, "&%e." +%#*'dem+%e""'#n and 'n''a!"a('!'2/

Te +!ae (%'d,e" e$%a&u%e and +%#e&" e"&%e." $%#m (end'n, and#%"'#na! !#ad"/

P!ae +%#e&" +%'ma%2%e+a'%/


19/27

C#m+%e""'#n


20/27


21/27

Bu%e"" +!ae

?H#!d@ e (#ne u+ Re"'" "ea% $#%&e"

du%'n, a0'a! !#ad'n,U"ed 'n

mea+2"ea! a%ea"

# "u++#% 'n%a-a%'&u!a% $%a,men"


22/27

Ten"'#n (and +%'n&'+!e


23/27

An' ,!'de +!ae


24/27

Na'!"

In%amedu!!a%2 na'!" A na'! 4#% !#n, %#d5 '" 'n"e%ed

'n# e medu!!a%2 &ana!

"u'a(!e $#% !#n, (#ne" "u& a"$emu%3 '('a3 ume%u"

%#a'#na! $#%&e" a%e %e"'"ed

.' %an"*e%"e interlockingscrews

Na'!" a%e u"ed .' #% .'#u+%'#% %eam'n, #$ e medu!!a%2&ana!


25/27

B'#me&an'&" #$ IM na'!"

=en +!a&ed 'n a$%a&u%ed !#n, (#ne3 IMna'!" a& a" 'ne%na!

"+!'n" .' !#ad-"a%'n, &a%a&e%'"'&"/


26/27

C#m+!'&a'#n" #$ 'ne%na! 10a'#

M#" #$ e m+!'&a'#n" #$ 'ne%na! 10a'#n a%e due # +e&n'


27/27

Implant failure Mea! '" "u(7e& # $a',ue and &an $a'! un!e"" "#me un'#n #$

$%a&u%e a" #&&u%%ed/ S%e"" mu" e%e$#%e (e a*#'ded and.' a (%#6en '('a 'ne%na!!2 10ed "#u!d .a!6 .' &%u&e"a.a2 $%#m +a%'a! .e',(ea%'n, $#% .ee6" #% !#n,e%3 un'!#e% %ad'#!#,'&a! "',n #$ $%a&u%e ea!'n, '" "een #n 0-%a2/ P$%a&u%e "'e '" a dan,e% "',na! and mu" (e 'n*e"',aed/

Refracture I '" 'm+#%an n# # %em#*e mea! 'm+!an" ## "##n3 #% e

ma2 %e$%a&u%e/ A 2ea% '" e m'n'mum and #% m#n""e*e%a! .ee6" a$e% %em#*a! e (#ne '" .ea63 and &a%e #% +'" needed/

principles of immobilization

Documents