بنام خداوند جان وخرد

Principles of CR,ST,IF Dr.H.Saremi Orthopaedic surgeon, Hand and Shoulder fellowship Hamedan university of medical sciences Besat Hospital

introduction Skeletal system is very active metabolically Turnover rate of 3% per year of cortical and 25% per year of cancellous bone

Reduction CR OR

fixation CR+casting CRIF ORIF

Fixation Splint Casting Traction External fixator Internal fixator

Closed reduction What fx? Age soft tissue bone What is an acceptable reduction Alignment Shortening rotation

CR Technique

CR

CR

CR

CR

Traction Skin traction Skeletal traction

Skeletal traction Skin should be prepped Anesthesia complications

Internal fixation Incision Timing Infection

Internalfixation Reduction Direct Indirect

Internal fixation Compression fixation Lag effect buttress

Internal fixation 3)Tension band Plate Wire and screw Staple 4)Compression nailing

Internal fixation Non compression techniques Biologic fixation Cerclage

Thank you