Multiple fractures of the foot
Traumatology / / August 12, 2017
Multiple fractures of the foot occur mainly in traffic injuries and falls from a height.
main signs of foot bones
fractures most often occur in fractures of the foot following: "flattened out" of the forefoot, the smoothed outline of the ankles, swelling, bleeding and bruising.The skin back surface cyanotic, in the future, there extensive areas of necrosis.When attempting to passive movements of the joints of the foot or ankle crepitus appears.Pain is always intense.Traumatic shock is rare and mostly first degree.
First aid for fractures of the foot bones
focuses on the sufficient anesthesia by intramuscular injection of novocaine blockade promedola and fractures places or "futlyarnoy" in the lower leg.
Transport immobilization with multiple fractures of the foot.
and - preparation of the tire;b - after immobilization.
transport immobilization carried stair rails.Conveying can be affected in a semi-sitting position, but with the sublime position of the damaged foot.
Principles of treatment o
f bone fractures of the foot
Due to the low efficiency of conservative methods, the latter should be used when there are multiple injuries of bones of the foot only as a preliminary or secondary treatment.The use of distraction devices significantly improve the treatment of orthopedic injuries this location.Combined methods are most promising.
With the help of Ilizarov apparatus carried closed reposition of fragments of bones of the foot.Then the needles percutaneously fix fragments in intact bones, remove the unit and put the circular plaster bandage to the knee or to the upper third of the femur (with multiple fractures of the calcaneus).For injuries talus and calcaneus bones machine superimposed on the shin bone (ring and half-ring), container (heel) and the metatarsal bones.With multiple fractures and perelomovyvihah tarsal bones and metatarsal distraction apparatus (mainly of half-rings) is imposed only on the bones of the foot.After each otlomok calcaneus and the talus is usually held 1-2 spokes, which are fixed in some semirings with the possibility of mutual movement.To reposition the spokes are also used with thrust pads and removable repositioned in a set-top box.
- Multiple rib fractures
- Multiple fractures pelvis
- Multiple fractures of the bones and the bones of segments
- Multiple fractures of the forearm bones
- Multiple fractures wrist
- Multiple fractures of femur
- multiple fractures of the tibia
- multiple fractures ankle
- multiple fractures of the bones of the knee joint
In the treatment of open-foot injuries the main difficulties associated with disabilities radical excision of tissue, a strong fixation of bone fragments and closing the wound defect local fabrics.Significantly better results were achieved with the plastic on the skin and primary Krasovitovu free skin grafting.However, poor fixation of bone fragments reduced the final effect of the treatment.
The use of distraction devices allowed to improve the results of recovery and foot skeleton.Simple frame device (2 or semiring bracket rod and two spokes 2) in combination with a plaster splint provide sufficient fixation of fragments for a period of wound healing.
Spokes can be conducted and in areas deprived of the skin, subsequently closed by means of a secondary skin plasty.Washer outer bone fixation should be used not only for very serious injuries when there are doubts about the appropriateness of the course, but also without the destruction of soft tissues as distraction damaged joints prevents the development of the early post-traumatic osteoarthritis.