traumatismele coloanei vertebrale · scurtarea membrului. 62 examenul radiologic obligatoriu 2...
TRANSCRIPT
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TRAUMATISMELE COLOANEI VERTEBRALE
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CARACTERISTICI
VARSTE TINERECEA MAI AFECTATA: COLOANA
TORACOLOMBARA SI CERVICALA 30-40% COMPLICATII NEUROLOGICE
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MECANISM DE PRODUCERE
HIPERFLEXIEHIPEREXTENSIEHIPERFLEXIE+ HIPEREXTENSIECOMPRESIUNE VERTICALATORSIUNE FORFECARE
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CLASIFICAREBOHLER:LEZIUNI ALE CORPULUI:PARCELARETASARECOMINUTIVE
LEZIUNI ALE ARCULUI POSTERIOR:APOFIZE ARTICULARELAMELEAPOFIZE SPINOASEAPOFIZE TRANSVERSEPEDICULII
FRACTURI ASOCIATE
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CLASIFICARE
WATSON-JONES:FRACTURI CU TASAREFRACTURI COMINUTIVEFRACTURI ASOCIATE CU LUXATII
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CLASIFICARE
NICOLLE:FRACTURA STABILA - LIGAMENT INTACTFRACTURI INSTABILE- LIGAMENTELE
INTERSPINOASE RUPTE
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SIMPTOMATOLOGIEANAMNEZADATE DESPRE MODALITATEA DE
ACCIDENTAREINSPECTIE: GIBUS CARATERISTICDATE INDIRECTE (LEZIUNI IN ZONA
FRONTALA, OCCIPITALA)PALPARE:DURERECONTRACTURA MUSCULARA
PARAVERTEBRALASANT INTERVERTEBRAL
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SIMPTOMATOLOGIE
EXAMEN NEUROLOGIC:MOBILITATESENSIBILITATETULBURARI SFINCTERIENETULBURARI VASOMOTORII
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EXAMEN RADIOLOGIC
OBLIGATORIU: FATA + PROFILINCIDENTE SPECIALE:
TRANSBUCALE,OBLICECOMPUTER TOMOGRAFIAREZONANTA MAGNETICA NUCLEARA
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COMPLICATII
IMEDIATE:LEZIUNI MENINGEALELEZIUNI RADICULARELEZIUNI MEDULARE
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SINDROMUL NEUROLOGIC (SOCUL MEDULAR)
SINDROM MOTOR:A. ETAPA SOCULUI MEDULAR B. AUTOMATISMUL MEDULARC. AREFLEXIA TERMINALA
SINDROM TROFIC:ESCAREATROFII MUSCULAREOSTEOPOROZATULBURARI DE FANERE
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SINDROMUL NEUROLOGIC (SOCUL MEDULAR)
SINDROMUL NEUROVEGETATIV:SINDROMUL URINARSINDROMUL PULMONARSINDROMUL DIGESTIVSINDROMUL CARDIOVASCULARHIPERTERMIESINDROMUL BIOLOGIC
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COMPLICATII TARDIVE
CALUS VICIOSSINDROM KUMELL-VERNEUILTULBURARI TROFICEINSUFICIENTA HEPATICALUXATII SECUNDARE
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TRAUMATISMELE COLOANEI CERVICALE
FRACTURILE ATLASULUICAP SUSTINUT DE MANATORTICOLIS TRAUMATICTETRAPLEGIERX-TRANSBUCALA SI PROFIL: RUPTURI ALE
ARCULUI POSTERIOR, ANTERIOR, FRACTURA MASELOR LATERALE, LUXATIA POSTERO-ANTERIOARA
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TRAUMATISMELE COLOANEI CERVICALE
FRACTURILE AXISULUIDESTUL DE FRECVENTE, GRAVEHIPERFLEXIE, TORSIUNEFRECVENT FRACTURA APOFIZEI
ODONTOIDE (50% DIN TOTALUL FRACTURILOR CERVICALE)COMPLICATII: TETRAPLEGIE SI EDEM
ASCENDENT AL TRUNCHIULUI CEREBRAL
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TRAUMATISMELE COLOANEI CERVICALE
C3-C7:MAI ALES C5FRECVENT LEZIUNI ALE APARATULUI
LIGAMENTAR SI MAI RAR FRACTURI (ENTORSE, LUXATII)RISC CRESCUT DE AFECTARE
NEUROLOGICA
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TRAUMATISMELE COLOANEI TORACO-LOMBAREFRECVENTE“CENTRU TRAUMATIC” T12-L2RARE FRACTURILE COL. TORACALE
(PROTEJATA DE GRILAJUL COSTAL)HIPERFLEXIA (TASARI CUNEIFORME)HIPEREXTENSIA (LEZIUNI ALE ARCULUI
POSTERIOR CU AFECTARE NEUROLOGICA)
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TRATAMENT
PROFILACTIC:CENTURI DE SIGURANTA+ TETIEREPRIM AJUTOR:MUTAREA
ACCIDENTATULUI IN BLOC PRIN TRACTIUNE IN AXUL CORPULUI CU EXTREMITATEA CEFALICA SUSTINUTA; ASEZARE PE UN PLAN DUR
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TRATAMENT
FRACTURILE ATLASULUI: ORTOPEDIC: MINERVA FRONTO-OCCIPITO-MENTONIERA
SI CORSET PENTRU 2 LUNITRACTIUNE CRUTCHFIELD 21 ZILE +
MINERVA 3 LUNICHIRUGICAL: ARTRODEZA MIXTA OCCIPITO-ATLO-
AXOIDIANA (CERCLAJ + GREFON SPONGIOS)
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TRATAMENT
FRACTURILE AXISULUI:FRACTURILE APOFIZEI ODONTOIDE:FARA DEPLASARE: MINERVA 3 LUNICU DEPLASARE: TRACTIUNE
CRUTCHFIELD+ MINERVA SAU ARTRODEZA MIXTA
FRACTURILE ARCULUI POSTERIORIN GENERAL CHIRUGICAL-ARTRODEZA
MIXTA POSTERIOARA
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TRATAMENT
C3-C7:MINERVA OCCIPITO-MENTONIERA 2
LUNIEXTENSIE + MINERVAARTRODEZA (CORECTIE + STABILIZARE)
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TRATAMENT
COLOANA TORACOLOMBARA:TASARE < 1/3 DIN INALTIMEA CORPULUI
VERTEBRAL : TRATAMENT DE RECUPERARE PRECOCETASARE >1/3 DIN CORPUL VERTEBRAL:
RECLINATIE VERTEBRALA + CORSET GIPSAT 2-3 LUNIFRACTURI INSTABILE: CHIRUGICAL:
ARTRODEZA + FIXARE
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TRATAMENT
COMPLICATII NEUROLOGICE:TETRAPEGICI- TRACTIUNE CRANIANA
3 SAPTAMANI ( PT. DECOMPRESIE)PAT DURTOALETA TEGUMENTE, MASAJESONDA URINARA (SCHIMBATA LA 3-4
ZILE)TERAPIE MEDICAMENTOASA
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FRACTURILE BAZINULUI
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CARACTERISTICI
ACCIDENTE RUTIEREPERSOANE TINERE10% DIN ACESTIA DECEDEAZARARE LA COPII
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MECANISM DE PRODUCERE
INDIRECTCOMPRESIUNE ANTEROPOSTERIOARACOMPRESIUNE VERTICALA
DIRECT (RAR)
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CLASIFICAREFRACTURA OASELOR IZOLATE:FR. OSULUI ILIACFR. PUBEFR. ISCHOIN FR. SACRUFR. COCCISULUI
FRACTURA CENTURII PELVIENE:FR. UNICA VERTICALAFR. DUBLA VERTICALAFR. DUBLA VERTICALA ANTERIOARA
BILATERALAFR. CVADRUPLACOMBINATII
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CLASIFICARE
TRAUMATISME ARTICULARE:FR. CAVITATII COTILOIDEDISJUNCTII SACROILIACEDISJUNCTII PUBIENEDISJNCTIA SACROCOCCIGIANA
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SIMPTOMATOLOGIE
STARE DE SOCMEMBRU PELVIN ROTAT EXTERN SAU
SCURTATTUMEFACTIE DISCRETAECHIMOZA SCROTALADURERI LA PALPAREA BAZINULUI
(SIMFIZA PUBIANA, SACRU, CRESTE ILIACE, RAMURI PUBOILIACE)TUSEU RECTAL , VAGINAL
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EXAMEN RADIOLOGIC
FATAOBLICA ALARAOBLICA OBTURATORIETOMOGRAFII
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COMPLICATII
IMEDIATE:SOC TRAUMATICLEZIUNI URETRO-VEZICALELEZIUNI VASCULARELEZIUNI NERVOASE (PLEX SACRAT, NERV
SCIATIC)LEZIUNI VAGINO-UTERINE
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COMPLICATII
TARDIVE:CALUS VICIOSARTROZE COXO-FEMURALETROMBOFLEBITESTRICTURI URETRALENECROZE DE CAP FEMURAL
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TRATAMENT
FRACTURI FARA DEPLASARE- REPAOS LA PAT PE UN PLAN DUR 3 SAPTAMANIFRACTURI CU DEPLASARE: HAMAC ASTLEY- COOPERTRACTIUNE TRANSCHELETICACHIRUGICAL
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FRACTURILE COLULUI FEMURAL
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CARACTERISTICI
FRECVENTE IN PRACTICA (5-10%)MAI ALES LA VARSTNICI DATORATE OSTEOPOROZEI CE
AFECTEAZA STRUCTURA DE REZISTENTA A COLULUI FEMURAL
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CLASIFICARE
EXISTA MAI MULTE CLASIFICARI (COOPER, DELBET, BOHLER, BERLINGTON,PAUWELS, SOEUR)UTILE:GARDEN, PAUWELS
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CLASIFICAREA PAUWELS
PE BAZA UNGHIULUI FORMAT DE ORIZONTALA PRIN CAPUL FEMURAL SI DIRECTIA FOCARULUI DE FRACTURA:I-<30 GRADEII- 30-50 GRADEIII->50 GRADE
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CLASIFICAREA GARDEN
GRADUL I- FRACTURA INCOMPLETAGRADUL II- FRACTURA COMPLETA
DAR FARA DEPLASAREGRADUL III- FRACTURA COMPLETA CU
DEPLASARE DAR FRAGMENTELE RAMAN LEGATE PRIN SINOVIALA SI REPLIUL FOVEO-PECTINEALGRADUL IV- FRACTURA COMPLETA CU
DEPLASARE TOTALA
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SIMPTOMATOLOGIEDURERE SPONTANA SI PROVOCATA IN
REGIUNEA INGHINALAIMPOTENTA FUNCTIONALA TOTALA (IN
FRACTURILE DEZANGRENATE) SAU PARTIALA (IN FRACTURILE ANGRENATE)POZITIE VICIOASA- MEMBRUL PELVIN IN
ADDUCTIE SI ROTATIE EXTERNA (ESTOMPATE IN FRACTURILE ANGRENATE)SCURTAREA MEMBRULUI
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EXAMENUL RADIOLOGIC
OBLIGATORIU2 INCIDENTE: FATA, PROFIL
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DIAGNOSTIC DIFERENTIAL
CONTUZIA DE SOLDFRACTURI TROHANTERIENELUXATIA DE SOLDFRACTURI DE CAVITATE COTILOIDA
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TRATAMENT
FUNCTIONAL- MOBILIZARE PRECOCE (CU PRETUL UNEI PSEUDARTROZE)ORTOPEDIC: REDUCERE SI IMOBILIZARE
IN APARAT GIPSAT PELVIPODAL (MAI ALES LA COPII)CHIRURGICAL
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TRATAMENT CHIRUGICAL
REDUCE NUMARULCOMPLICATIILOR PERMITE O MOBILIZARE PRECOCEPROCEDEE: OSTEOSINTEZA (IN FRACTURI GRADUL I,II
SAU CHIAR III -GARDEN) CU SURUBURI DE SPONGIE, BROSE FILETATE, D.H.S.ARTROPLASTIA DE SOLD (LA VARSTNICI SI
MAI ALE LA FRACTURILE GRAD III,IV GARDEN)
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COMPLICATII
IMEDIATE:DECES (30%)DECOMPENSARE CARDIACABRONHOPNEUMONIIESCARE DE DECUBITTROMBOEMBOLII
TARDIVE:PSEUDARTROZA (33%)NECROZA ASEPTICA DE CAP FEMURALARTROZA
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FRACTURILE TROHANTERIENE
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CARACTERISTICI
FRECVENTE LA VARSTNICIDATORATE OSTEOPOROZEIZONA INTERESATA: INTRE COLUL
FEMURAL SI DIAFIZA
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CLASIFICARE
FRACTURI CERVICOTROHANTERIENEFRACTURI PERTROHANTERIENE (SIMPLE
SI COMPLEXE)FRACTURI INTERTROHANTERIENEFRACTURI SUBTROHANTERIENE
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SIMPTOMATOLOGIA
DURERE SI IMPOTENTA FUNCTIONALAMEMBRU AFECTAT IN ABDUCTIE,
ROTATIE EXTERNA, CURBATRADACINA COAPSEI DEFORMATA IN
CROSAPALPAREA VARFULUI SEGMENTULUI
PROXIMAL SCURTARE MEMBRU PELVIN CU 3-8 CM
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TRATAMENT
ORTOPEDIC: IMOBILIZARE IN APARAT GIPSAT PELVIPODAL SAU EXTENSIA CONTINUA TRANSCHELETICA URMATA DE IMOBILIZARE IN APARAT GIPSATCHIRURGICAL: OSTEOSINTEZA CU TIJE
ENDER, CUI-PLACA, D.H.S, CUI-GAMMA
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COMPLICATII
IMEDIATE:CARDIACEPULMONAREINFECTIA URINARATROMBOFLEBITE
TARDIVE:INTARZIERE DE CONSOLIDAREPSEUDARTROZECALUSURI VICIOASE
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FRACTURILE DIAFIZARE ALE FEMURULUI
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CARACTERISTICI
ZONA: SUPERIOR-3 CM SUB TROHANTER; INFERIOR-10CM DEASUPRA MARGINII SUPERIOARE A CONDILILOR FEMURALI10% DIN TOTALUL FRACTURILORMAI FRECVENTE LA TINERIFRECVENTE LA POLITRAUMATIZATI
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ANATOMIE PATOLOGICA
FRACTURI FARA DEPLASAEFRACTURI TRANSVERSALE FRACTURI OBLICE SCURTE,LUNGI FRACTURI SPIROIDEFRACTURI COMINUTIVE
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SIMPTOMATOLOGIE
SEMNE DE PROBABILITATE:DURERE VIE IN PUNCT FIXECHIMOZA LOCALADEFORMAREA REGIUNIISCURTAREA MEMBRULUIIMPOTENTA FUNCTIONALA
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SIMPTOMATOLOGIE
SEMNE DE CERTITUDINE:MOBILITATE OSOASA ANORMALACREPITATII OSOASELIPSA CONTINUITATII OSOASELIPSA TRANSMISIBILITATII MISCARII
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SIMPTOMATOLOGIE
EDEM MARE SI HEMATOM MASIV (PIERDEREA SANGUINA PUTAND FI PANA LA 1-2 LITRI)SCADERE TENSIONALASTARE GENERALA ALTERATA
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EXAMENUL RADIOLOGIC
OBLIGATOR2 INCIDENTE (FATA SI PROFIL)PRECIZEAZA FORMA DE FRACTURA
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TRATAMENT
ORTOPEDIC:LA COPII: EXTENSIE CONTINUA LA
ZENITLA ADULTI: FRACTURI FARA DEPLASARE
SAU CONTRAINDICATIE DE TRATAMENT CHIRUGICAL-APARAT GIPSAT PELVIPEDIOS SAU EXTENSIE CONTINUA SUPRACONDILIANA
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TRATAMENT
CHIRUGICAL:OSTEOSINTEZA CU :TIJA CENTROMEDULARA KUNTSCHER ,TIJA ZAVORATA TIP KEMPF PLACA SI SURUBURIFIXATOR EXTERN (PENTRU FRACTURI
DESCHISE)
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COMPLICATII
IMEDIATE:SOCUL TRAUMATICFRACTURA DESCHISALEZIUNI VASCULO-NERVOASETROMBEMBOLII
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COMPLICATII
TARDIVE:REDOARE DE GENUNCHICALUS VICIOSATROFIE MUSCULARAINTARZIERE DE CONSOLIDAREPSEUDARTROZAOSTEITE
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FRACTURILE EXTREMITATII DISTALE A FEMURULUI
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CARACTERISTICI
CUPRIND FRACTURILE CE INTERESEAZA METAFIZA SI PORTIUNEA DISTALA A DIAFIZEI FEMURALE (PANA LA 10 CM DEASUPRA MARGINII CONDILILOR)APAR IN CONTEXTUL
POLITRAUMATISMELORMECANISM DE PRODUCERE CEL MAI
FRECVENT INDIRECT
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CLASIFICARE
FRACTURI SUPRACONDILIENEFRACTURI CONDILIENE:UNICONDILIENEBICONDILIENE
COMBINATE
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FRACTURILE SUPRACONDILIENE
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SIMPTOMATOLOGIEDEFORMARE MARCATA A 1/3 DISTALA A
COAPSEI SI GENUNCHIULUIGAMBA SI PICIORUL SE AFLA IN ROTATIE
EXTERNASE POATE PALPA SUB TENDONUL
CVADRICIPITAL FRAGMENTUL DIAFIZAR (FRAGMENTUL DISTAL FIIND IN SPATIUL POPLITEU)LIPSA DE CONTINUITATE OSOASA
!!!! MANEVRE BLANDE (RISC DE PERFORARE A VASELOR POPLITEE)
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TRATAMENT
ORTOPEDIC-FRACTURI FARA DEPLASARE-APLICARE A UNUI APARAT GIPSAT PELVIPODAL 6-8 SAPTAMANI- CU DEPLASARE-EXTENSIE CONTINUA TRANSTUBEROZITARACHIRUGICAL: OSTEOSINTEZA CU LAMA
PLACA MONOBLOC SI SURUBURI
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COMPLICATII
IMEDIATE: VASCULARE- LEZIUNI ALE VASELOR
POPLITEENERVOASE-TIBIAL, SCIATIC POPLITEU
EXTERNDESCHIDEREA ARTICULATIEIDESCHIDEREA FOCARULUI DE FRACTURA
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COMPLICATII
TARDIVE:INTARZIERI DE CONSOLIDAREPSEUDARTROZECALUSURI VICIOASEREDORI DE GENUNCHI
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FRACTURILE CONDILIENE
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SIMPTOMATOLOGIE
GENUNCHI TUMEFIAT (HEMARTROZA MARE)GAMBA IN ROTATIE EXTERNAIMPOTENTA FUNCTIONALA TOTALAMEMBRU SCURTAT 4-5 CMDURERE PE FETELE LATERALE ALE
GENUNCHIULUICREPITATII OSOASE
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TRATAMENT
ORTOPEDIC-FRACTURI FARA DEPLASARECHIRUGICAL:OSTEOSINTEZA CU SURUBURIOSTEOSINTEZA CU CUI-PLACAARTROPLASTIE DE GENUNCHI
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COMPLICATII
IMEDIATE:VASCULO-NERVOASE, DESCHIDEREA FOCARULUI DE FRACTURATARDIVE:PSEUDARTROZAGENUM VARUM SAU VALGUM
POSTRAUMATICREDOARE DE GENUNCHIARTROZE DE GENUNCHI
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FRACTURILE DE ROTULA
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CARACTERISTICI
MECANISM DE PRODUCERE: DIRECT (MAI FRECVENT) SI INDIRECT (PRIN CONTRACTIA BRUTALA A CVADRICEPSULUI)CLASIFICARE:FRACTURI CU TRAIECT TRANSVERSALFRACTURI CU TRAIECT VERTICALFRACTURI COMINUTIVEFRACTURI PARCELARE
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SIMPTOMATOLOGIE
DURERECREPITATII OSOASELIPSA CONTINUITATII OSOASESEMNUL CREIONULUIHEMARTROZA, TUMEFACTIE
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EXAMENUL RADIOLOGIC
OBLIGATORIU2 INCIDENTE
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TRATAMENT
FRACTURI FARA DEPLASARE-ORTOPEDIC:APARAT GIPSAT CRURO-GAMBIER PENTRU 4-6 SAPTAMANIFRACTURI CU DELASARE-
CHIRUGICAL:CERCLAJ PERIROTULIANSURUBOSTEOSINTEZA PE PRINCIPIUL HOBANEIPATELECTOMIE
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