Clavicularis brachialis artrózis

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Bavonratanavech Suthorn Bangkok Medical Center Every osteosynthesis is justified only significant advantages can be accomplished. The surgeon has to consider the risk benefit ratio before doing any kind of surgical procedure. Although the surgeons are aware of complication and do not want to happen unfortunately there are still many complications that cause mortality and morbidity.

Szabó, É.

The common complications of osteosynthesis are infection, neurovascular injury, implant failure which result in non union. Infection can be prevent by improving the environment of the operating theatre and the personnel has to follow all aseptic precaution and sterile technique. In order to avoid neuro vascular injury, the surgeon has to study carefully the anatomical landmark for surgical approach especially in some areas.

izomfájdalom kenőcs ízületek

In this presentation the main focus will be about implant failure and how to solve these difficult complication but the most important is how to prevent not to happen.

AO strongly believe that with good education and understanding of the AO principle with correct application there will be less complication happens. There are several etiologies that cause complications which can be summarize into 10 rules that the surgeons have to remember Rule no.

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Rule no. Parameters, such as the strain of the repair tissue, have been identified as important factors influencing bone healing.

  1. Csukló Hogyan különbözik az akromioclavicularis artroszája a sternoclavicularis artrózisától?
  2. A sarok ízületének kezelése

Correct timing is needed to preserve the soft and hard tissues and with it the blood supply to bone. Last but not least what is the level of your competency? Every trauma case the surgeon has to realize the mechanism of the injury, make the correct diagnosis, classify bone and soft tissue condition in order to select the appropriate type of treatment.

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The traumatized limb should be carefully assessed for neurovascular injury and possible compartmental syndrome. Most of the fractures can be diagnosed by routine AP and lateral X-ray.

Hogyan különbözik az akromioclavicularis artroszája a sternoclavicularis artrózisától?

It is necessary to have the X-ray which includes the whole length of bone to rule out the other lesions. If the patient is unconscious, the lateral cervical spine and pelvic X-ray should be taken to rule clavicularis brachialis artrózis the injury. In articular fractures the oblique X-ray may be added to see more details of the fractures.

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CT scan is helpful to determine the degree of the displaced articular surface or loose fragment in the joint. After gathering the information about the patient and the personality of the fractures, the surgeon has to answer the following questions. Is the surgery has to be done as an emergency, urgency or as the elective procedure?

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What is the position of the patient and the appropriate surgical approach? Which type of the stability of the fixation is suitable for the fracture?

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What kind of implants should be used to obtain the desired stability with less disturbance to the viability of bone and soft tissue? Which method of reduction is required in respect to the accuracy of reduction and axial alignment of the extremity.

artrózis kezelés és gyógyszerek

Do you need any additional equipment or instrument to facilitate the surgical procedure? The answers to these questions are decision making process and pre operative planning to help the surgeons to think ahead about the possible problems.

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In order to reduce the complication the proper pre operative planning in very case and perform the surgical procedure according to the plan. The well planned surgery will reduce the operating time and the surgeon can anticipate the possible problem that may happen during surgery.

Kérlek kattints ide, ha a dokumentum olvasóban szeretnéd megnézni! A felső és az alsó végtag anatómiája: Csontok, ízületek, szalagok, erek és idegek Lektorálta: Dr. Székely Andrea egyetemi adjunktus Dr. Somogyi György egyetemi docens Szerkesztette: Tóth Csaba oh.

All the proper instruments and implants are checked clavicularis brachialis artrózis the operation. The treatment of the complication case is even more difficult and requires extensive analysis. What are the causes of failure and how the fixation has to be revise?

Betekintés: Tóth Csaba - A felső és az alsó végtag anatómiája

Do we need a better investigation to analyse the fracture? Is there reumás kéz with infection and why it hogyan néz ki a csípőízület Please keep in mind that the patient has already suffer for the failure of the first operation that can be vary from some months or years that he could not work or have a good function.

The preoperative planning with the following answers : shall we use the same incision or different, how do we remove the implant, shall we use the implant as the reference for the insertion of new implant, do we use the same type of implant or change to new type. Do you require special type of implants or instrument.

Alapvetõ megfontolások 1. A protokoll alkalmazási, érvényességi területe — Ortopédia, traumatológia, rheumatológia — Családorvos — kompetencia szintnek megfelelõen 2. A protokoll bevezetésének alapfeltétele — Ortopéd Szakmai Kollégium legitimációja — Ortopéd szakmai minimum feltételeknek megfelelõ ellátás szerint 3. Definíció A humerus fejének a cavitas glenoidalishoz képest történõ, panaszt okozó, kóros mértékû elmozdulását nevezzük glenohumeralis instabilitásnak.

Is clavicularis brachialis artrózis graft necessary. Finally are you competent to perform this operation and guarantee the success.

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