Case 5'12 Trochanteric Fracture

1
Case 5.12 Trochanteric Fracture

• Table 12
• ?????????? ?????????? ???? 4735064830
• ?????????????? ?????????? ???? 4735065430
• ???????????? ????????? ???? 4735066030
• ?????????????? ???????????? ???? 4735067730
• ??????????? ??????????? ???? 4735068330
• ????????? ?????? ???? 4835175930

2
????????? 5.12 Trochanteric Fracture

• ????????????????????????????????????????????????
  ?????????? ????????????????????????? ????????????
  ??????????????????????????????? proximal end ???
  ?????? femur ????????? ???????????????????????????
  ?????????????????????????????????

3
?????

• ??????????????????????????????????????????????????
  ?? ??????? ????????? neck ????????? femur
  ?????????????????????????

??? ????????? femur ????????? ????????????????
2 ?????? ?????? 1. intertrochanteric fracture
??? ????????????? greater ??? lesser
trochanter 2. pertrochanteric fracture ???
?????????? trochanters ???????
4

• Pertrochanteric fractures

5

• Intertrochanteric fractures

6

• ??? Fracture ??? Femoral neck ???????????
  Articular capsule ???????? intracapsular
  fractures ?????????????????????????????????
  ??????????????????????????????????????? Hip joint

7
Blood supply of head and neck of the femur.
Retinacular artery
Lateral circumflex femoral artery
Medial circumflex femoral artery
8

• ??? Fracture ??? Proximal end of femur
  ??????Trochanter ?????????????????? (comminute)
  ?????????? Articular capsule ????????
  Extracapsular fractures ??????????????????????????
  ??????????????????????

9
?????

• lower limb ??????????????????????????????
  fracture ??? proximal end of femur

??? ?????????????????????? laterally rotate
10
?????

• ???????????????????????? femur ???????????????????
  ??????????????????????????? (???????closed
  treatment) ??????????
• ??? ????????? closed treatment ?????????????
  ???????? continuous traction ??????????????

11
Continuous traction
12
?????

• ????????????????????? femur ???????????????
  ??????????????????????????????????????
• ??? ?????????????????????????????????????????????
  proximal end of femur ????????????

13
??????????????????

• ?????????????????????????????? ???????????????????
  ?????? ???????????????????????????????????????????
  ?? ???? ????????, ???????, ???????????????
  ?????????????????????????, deep vein thrombosis
  (DVT) and pulmonary complications ???
  ?????????????????????????? ???????????????????????
  ???? ???????????????????????????????????