Fracture classification and pathological form

Treatment of fractures classified, is the decision, grasp its development and changes in the law. 1) In accordance with the normal pre-injury bone Category Trauma fracture fractures, bone structure was normal, and a purely external force to fracture. Pathological bone fractures due to the disease itself (such as osteomyelitis, bone tuberculosis, bone tumors, etc.)而使osteoporosis, the destruction of Biancui, in the normal Activities under the external force or minor, can be a fracture. This need for dual treatment of fractures, fractures in need of treatment, caused the fracture Disease is also in need of treatment. 2) According to fracture周围软组织and organ damage Category Simple fracture with no nerves, major blood vessels, organs or tendon injury. Complex fractures with nerves, blood vessels important, organ or tendon injury. 3) According to the fracture injury classification Not entirely trabecular bone fractures the continuity of only some of interruption, the successful fracture angle, bending deformity and fractures have no such shift, much like Tree branches were broken, it is also called "green sticks fracture." Complete the entire bone fractures the continuity of all the damage, bone fracture after a near two or more of the fracture, fractures or paragraph Are still in place, or a duplication, angle, rotation, separation, embedded into, depression and other shift. 4) According to the fracture line request form Transverse fracture fracture line with the longitudinal axis vertical shaft. Oblique fracture fracture line with the backbone of vertical axis was certain angle, or into an acute angle, or into Dunjiao. Spiral fracture of a spiral fracture line. Comminuted fracture Gusui fragmented into three more, said comminuted fracture. Fracture line with "T"-or "Y"-type, also known as the "T"-or "Y" Fractures. Embedded into each other embedded-fracture fractures, and more in the long bone of metaphyseal bone and spongy bone at the junction. Fractures, bone inlay of Insert cancellous bone, can occur in the femoral neck and neck, etc. humerus surgery. Cancellous bone compression fractures due to the vertical compression force and deformation, as thoracic and lumbar vertebrae on, a wedge-shaped vertebrae. Gulie crack or fracture, a crack or fracture gap linear, non-displaced fracture of films, porcelain on the shape of the crack, commonly found in the skull, Scapula, etc.. Green sticks fracture occurred in children. Only some of osteoporosis and periosteum longer, fold or break down, often into a corner, bending deformity, and sometimes into Kok was not obvious, but there cortex fold. Epiphyseal separation occurred in parts epiphyseal plate, and the backbone epiphyseal separation of the epiphysis section can range from a number of bone tissue, the epiphysis It is also a separation of the fracture, is common in young people under the age of 18 and children. Depression-chip fracture fracture subsidence, more than occurred in the first skull and facial bones. 5) According to fracture the stability of the classification - - Stable fracture fracture displacement or not properly reset after not happen again, fixed displacement, such as crack fracture, Green sticks fractures, no The complete fracture displacement, the backbone of the transverse fracture in general (except femoral transverse fracture), embedded into fractures, vertebral compression fractures, and so simple, Are stable fracture. Treatment of such fractures easy, effective and easy to heal. Unstable fracture easily displaced fracture end in itself, or vulnerable to further reduction after the transfer, such as the oblique fracture, spiral fractures, multiple fractures, powder Fractures or broken defects such as fractures, are unstable fracture. Femoral transverse fracture, the muscles around his more lucrative, fracture rehabilitation more difficult, After the restoration it will be difficult to maintain the place, so also be unstable fracture. Handling such a complex fracture, need some traction, and some need within the solid - Determined to defect to be bone fracture to heal, and so on. Therefore, the treatment of unstable fracture fracture worse than stability. 6) According to the time after the fracture classification Fresh fracture hematoma side of the fracture has not fully absorbed, has not yet formed fiber bone callus parcels, known as the fresh fractures. General 1-2 after injury Week (except in children) is the backbone of such fractures. The slower healing of the femoral neck fracture, scaphoid bone fracture, in 3-4 weeks after injury also is a new Fresh fractures. Fracture fracture between the old stump has fibrous tissue or bone callus parcels say old fractures, injuries to more than 2-3 weeks after the fracture, such Fracture reduction more difficult, slow healing. If the time for too long, can be deformed fracture healing, healing or slow healing. 7) According to the fracture with the outside world whether or not the same classification Closed fracture fracture of the skin or mucous membrane integrity, non-fracture with the outside world are the same. Open fracture fracture near the skin or mucous membrane rupture, fractures to the same end with the outside world. Such as pelvic fracture associated with suprapubic bladder or Urethral rupture, Wei Gu fracture with a breakdown of the rectum, are open fractures.