骨 科 学
矫形外科学
Orthopaedics
Tree of Nicolas Andry
（ 1741）
研 究 内 容
运动系统的创伤和疾病
矫形外科发展史
骨折治疗的历史
History of
Osteosynthesis
5000 years ago
Egyptians external splintage
1770
Lapejode
Sicre internal fixation
1820
John Kearny Rogers
silver wire suture
1843
Malgaigne griffe(claw)
(first external fixatior)
Albin Lambotte
(1866-1955)
现代内、外固定之父
Rober Danis
1932-1949
soudure autogene(welding)
direct bone healing
Maurice E,Müller
AO Arbeitsgemeinschaft
fur Osteosynthese fragen
第一节 概 述
(General Outline)
骨折概论
There is no class of injuries
which a practitioner approaches
with more doubt and misgiving
than fractures,or one which
demands a greater amount of
ready knowledge,self reliance,
and consummate skill.
Samuel D.Gross,1882.
Definition
Fracture is interrupted
in the communication of
bone.
Etiology and classification
1,Causal Factors and Mechanism
of Injury.
? A direct force
tapping
crushing
? A indirect force
twisting
angulation
axial compression
? Avulsion force
? Stress
2,Classification
? Stable
stable fracture
unstable fracture
? Soft tissuγe
closed fracture
open fracture
? Pathology
pathological fracture
? Fracture Lines
transverse
oblique
spiral
compression
avulsion
green-stick
comminuted
dislocation
shaped-star
shaped-T,Y,V
butterfly
crushing
? Amount of Fruacture
multiple
double
? Epiphysis
? Time
fresh
old
矫形外科学
Orthopaedics
Tree of Nicolas Andry
（ 1741）
研 究 内 容
运动系统的创伤和疾病
矫形外科发展史
骨折治疗的历史
History of
Osteosynthesis
5000 years ago
Egyptians external splintage
1770
Lapejode
Sicre internal fixation
1820
John Kearny Rogers
silver wire suture
1843
Malgaigne griffe(claw)
(first external fixatior)
Albin Lambotte
(1866-1955)
现代内、外固定之父
Rober Danis
1932-1949
soudure autogene(welding)
direct bone healing
Maurice E,Müller
AO Arbeitsgemeinschaft
fur Osteosynthese fragen
第一节 概 述
(General Outline)
骨折概论
There is no class of injuries
which a practitioner approaches
with more doubt and misgiving
than fractures,or one which
demands a greater amount of
ready knowledge,self reliance,
and consummate skill.
Samuel D.Gross,1882.
Definition
Fracture is interrupted
in the communication of
bone.
Etiology and classification
1,Causal Factors and Mechanism
of Injury.
? A direct force
tapping
crushing
? A indirect force
twisting
angulation
axial compression
? Avulsion force
? Stress
2,Classification
? Stable
stable fracture
unstable fracture
? Soft tissuγe
closed fracture
open fracture
? Pathology
pathological fracture
? Fracture Lines
transverse
oblique
spiral
compression
avulsion
green-stick
comminuted
dislocation
shaped-star
shaped-T,Y,V
butterfly
crushing
? Amount of Fruacture
multiple
double
? Epiphysis
? Time
fresh
old
