Fractures of the edges and the bottom of the acetabulum

Fractures or bottom edge of the acetabulum occur when falling on the area of the greater trochanter or straightened legs, as well as compression of the pelvis.
Symptoms. The victim observed a lot of pain during movements of the hip joint (it should be noted that the fracture without displacement of fragments athlete to walk, leaning on the injured limb). In central hip dislocation when head femur enters the pelvic cavity, and active and passive movements are virtually impossible because of the pain. Observed retraction of the greater trochanter and the relative shortening. Finger study (per rectum) reveals painful swelling or bulging in the pelvic cavity of the femoral head. Radiographic examination clarifies the diagnosis.
Treatment. Introduced analgesics when indicated. The victim immediately hospitalized in an institution on a stretcher with a hard roll in the popliteal region.
When fractures without displacement imposed skeletal traction for epicondyles hip or tibial tubercle with a small weight (5.4 kg) for a period of 4-5 weeks. Appointed by the active movement in the hip joints. Allowed to go through 6-8 weeks after the injury with the help of crutches. After 2-3 weeks recovering disabled.
Fractures, complicated by central dislocation of the hip, it is recommended (FR Bogdanov) after removing the patient from shock to make an urgent reduction of dislocation under anesthesia, followed by the imposition of skeletal traction with a load of 12 kg for a period of 1.5-2 months. For the estimation of the femoral head from the pelvis skeletal traction is carried out with great hips epicondyles weight (10-12 kg) and the lateral thrust of the greater trochanter with a cargo of 6-8 kg. Required thorough radiological control. If after 2-3 days head stands in place cargo gradually reduced and finally removed after 2 months. Walking with the full support allowed after 6 months. When failure of conservative treatment is indicated operation.

Добавить комментарий

Tags: , , , , , ,

Site "Survival in the wild nature", glad to see you. If you come to us, it means you want to get complete information about survival in a variety of extreme conditions, in emergency situations. Man, throughout the development, sought to preserve and protect themselves from the various negative factors surrounding it - cold, heat, hunger, dangerous animals and insects.

Site structure "Survival in the wild nature" is simple and logical, selecting a specific section, you will find information. You will find on our website recommendations and practical advice on survival, unique descriptions and pictures of animals and plants, turn-based scheme to trap wild animals, tests and reviews of travel gear, rare books on survival and wildlife. The site also has a large section devoted to video on survival survivalist-known professionals around the world.

The main theme of the site, "Survival in the wild nature" - is to be ready to be in the wild, and the ability to survive in extreme conditions.

The Survival in the wild nature - how correctly to behave, it having appeared in an emergency situation. Ability to find a way out from any situation: to kindle a fire, to put traps, to prepare food, to arrange dwelling and a lodging for the night; to learn to knit knots, to clear water, to be guided by districts, correctly to choose equipment, a knife. Also you can download directories to tourists, encyclopedias survivals, video Bear Grills to Survive at any cost (Man vs. Wild).