Case 5'12

1
Case 5.12 Intertrochanteric Fracture
2
Table 34

• 1. ???????? ??????????????
• 2. ????????? ????????
• 3. ?.?. ?????? ?????????
• 4. ?.?. ???????? ?????????
• 5. ?????????????? ?????????
• 6. ?.?. ????? ?????????

3
Case 5.12

• ??????????????????????????????????????????????
  ??????????????????????????? ??????????????????????
  ???????????????????????????????? proximal end
  ????????? Femur ?????????????? ???????????????????
  ?????????????????????

4
(No Transcript)
5
????? ???????????????????????????????
???????????????? femoral neck
?????????????

• ??? ?????????????? intertrochanter
  ?????????????articular capsule ???????????????????
  ??????????????????????? ????????????????? femoral
  neck ?????? articular capsule ????????????????????
  ??????capsule??? hip joint ???????????????????????
  ??

6
????? ????????????????????????

• ??? ?????????????????????? lateral rotation

7
????? ??????????????????????????????????????????
?????????????

• ??? ????????????????????????????????????????

8
????? ??????????????????????????????????????????
??

• ??? ????????????????????????????????? proximal
  end ??? femur ????????????

9

• Intertrochanteric hip fractures are treated with
  an implant, such as a sliding compression screw
  and side plate. This implant securely holds the
  bone fragments in their proper position while the
  fracture heals. The fixation is usually strong
  enough to permit the person to bear weight as
  tolerated. While the bone fragments generally
  heal in a couple of months, most people continue
  to improve in terms of comfort, strength, and
  walking ability for at least 6 months.

10
?????????????????

• ?????????????????????????????? ???????????????????
  ??????? ?????????????????????????????????
  ????????????????????????????????????????????????
  ??????????????????????????????????????????????????
  ?????????????? ???????????????????????????????????
  ???????????????????????????????????????
• ????????????????????