第四章下肢骨折的康复（The fourth chapter fracture of lower limb rehabilitation）.docVIP

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第四章下肢骨折的康复（The fourth chapter fracture of lower limb rehabilitation）.doc

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第四章__下肢骨折的康复（The fourth chapter __ fracture of lower limb rehabilitation）

第四章__下肢骨折的康复（The fourth chapter __ fracture of lower limb rehabilitation） The fourth chapter is about the rehabilitation of lower limb fracture Study requirement First, master 1. rehabilitation evaluation of fracture (hip, femoral shaft, knee, tibia, fibula, ankle and foot) of lower extremities 2. rehabilitation therapy for fracture of hip, femoral shaft, knee, tibia, fibula, ankle and foot Two, familiar with 1. the definition, clinical epidemiology and common causes of fractures of the lower extremities (hip, femoral shaft, knee, tibia, fibula, ankle, foot). 2. the clinical characteristics of the lower extremities (hip, femoral shaft, knee, tibia, fibula, ankle, foot) fractures Three, understand The contents of the essence Hip injuries usually involve fractures and dislocations in the hip joint, and femoral neck fractures are more common. The patient suffered from hip pain, inability to stand, difficulty in limb movements, adduction of the affected limb, pronation (45 to 60 degrees), and shortening. Accompanied by tenderness at the midpoint of the groin and longitudinal percussion pain in the lower extremities. There is no difficulty in the diagnosis of displaced femoral neck fractures. X-ray films can be used to confirm the diagnosis. Displaced fractures are mild and have few signs and require close observation and follow-up. General fracture and dislocation can be diagnosed by routine x ray. Hip dislocations and fractures of the femoral neck in patients under 50 years of age should be treated as urgent as possible. Reduction and internal fixation are the basic principles for the treatment of dislocated femoral neck fractures. Reduction is usually performed by McElVelmy, and most fractures can achieve satisfactory reduction. This can be a good method of first choice. Open reduction or simultaneous bone graft should be performed with open reduction. Internal fixation methods are mostly cannulated compression screw fixation and multi pin (nail) fixation. No dislocat