Fracture vs Break
Txhob
Fracture yog ib qho kev cuam tshuam hauv zos ntawm cov qauv qub ntawm cov pob txha. Kev puas tsuaj yog xav tias muaj qhov sib txawv ntawm cov qauv, qhov mob, o, tsis ua haujlwm cuam tshuam nrog cov pob txha tawg.
Ua rau Fracture
Fractures tuaj yeem tshwm sim los ntawm ntau yam laj thawj thiab cov tuaj yeem faib dav raws li kev puas tsuaj thiab kab mob. Traumatic fractures yog tshwm sim los ntawm ncaj qha blunt force trauma. Pathological fractures tshwm sim los ntawm tej yam kev mob uas ua rau cov pob txha tsis muaj zog. Rickettes, osteoporosis, kab mob raum ntev, hypovitaminosis D, thiab kab mob siab ntev tuaj yeem ua rau cov pob txha tsis muaj zog los ntawm kev cuam tshuam nrog cov ntxhia, thiab txawm tias me me blunt quab yuam tuaj yeem ua rau pob txha.
Kev cais ntawm pob txha
Muaj ntau yam kev faib tawm ntawm pob txha.
• Anatomical classification: Anatomical classification siv qhov tseeb anatomical qhov chaw ntawm cov pob txha hauv lub cev.
• Orthopedic classifications: Orthopedic classification yog cov kev faib feem ntau siv. Nyob rau hauv no kev faib yog qhib pob txha, uas yog ib tug puas nrog overlying daim tawv nqaij puas. Nyob rau hauv kaw pob txha, daim tawv nqaij overlying yog lawm.
Fracture yog kho mob sub-divided raws li kev hloov chaw. Tsis tas li ntawd, raws li lub cev ntawm cov pob txha tawg muaj ntau pawg.
Tag nrho pob txha - pob txha tawg tau muab faib ua ke.
Tsis tiav pob txha - cov pob txha tawg tsis sib faib.
Linear fracture - kab tawg yog sib npaug mus rau qhov ntev ntawm cov pob txha.
Txoj kev tawg - kab tawg yog ntawm txoj cai kaum mus rau qhov ntev ntawm cov pob txha.
Oblique pob txha - kab tawg yog kab pheeb ces kaum mus rau qhov ntev ntawm cov pob txha.
Kauv pob txha - pob txha tawg nyob ib ncig ntawm cov pob txha hauv cov duab kauv thiab ntu tuaj yeem sib tw
Comminuted fracture - pob txha tawg ua ntau tshaj ob ntu
Kev puas tsuaj - pob txha pob txha thiab sib txuas rau ib leeg
Kev kuaj mob pob txha
Kev kuaj mob pob txha yog los ntawm kev kos duab. Feem ntau siv cov duab duab yog x rays. Lwm txoj hauv kev xws li khoos phis tawj tomography yuav raug siv los ntsuam xyuas cov nqaij mos raug mob.
Txhob Cia Siab
Cov teeb meem ntawm pob txha tuaj yeem raug cais raws li keeb kwm. Cov teeb meem tam sim ntawd yog cov hlab ntsha, cov leeg thiab cov hlab ntsha raug mob. Cov teeb meem nruab nrab yog rog embolism, cov ntaub so ntswg hloov pauv, kis kab mob. Cov teeb meem mus sij hawm ntev tsis yog kev sib koom ua ke, kev tsis sib haum xeeb thiab kev ua haujlwm qeeb.
Kev kho mob pob txha
Cov hauv paus ntsiab lus ntawm kev kho pob txha yog kev tswj xyuas qhov mob, immobilization thiab kwv yees. Cov pob txha ntu yuav tsum tau kwv yees kom zoo los pab txhawb kev kho kom zoo. Nws raug nquahu kom muaj ntau tshaj 2/3 tawg ntawm qhov chaw approximation. Raws li cov pob txha fractured, tus nqi ntawm deviation clinically tso cai txawv. Piv txwv li, rau humerus puas <15o angulations raug tso cai. Immobilization yog qhov tseem ceeb vim tias yog tias muaj kev txav mus los ntawm kev hu xov tooj yuav raug cuam tshuam thiab tsis muaj kev sib koom ua ke yuav tshwm sim. Cov txheej txheem ntawm immobilization txawv raws li cov pob txha tawg. Sab nrauv immobilization feem ntau ua nrog Plaster ntawm Paris cam khwb cia. Internal immobilization yuav ua tau nrog intramedullary thaiv, daim hlau thiab screws. Cov pob txha sab sauv yuav tsum tau khaws cia rau hauv qhov nrum tsawg kawg 6 lub lis piam thaum cov pob txha qis qis yuav tsum tau muab ob npaug rau qhov ntawd. Opioid analgesics yog qhov kev xaiv zoo dua vim qhov mob hnyav. Txhawm rau txhim kho pob txha kho pob txha grafting tuaj yeem ua tiav. Serial imaging yog qhov tseem ceeb rau kev taug qab thiab kev ntsuam xyuas ntawm kev kho pob txha.
Puas muaj qhov sib txawv ntawm Fracture thiab Break?
Fracture is a break in the pob txha. Kev tawg thiab tawg txhais tau tias tib yam.
