Diabetic arhtropathy and ankle fractures, power point

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oral presentation in annual congress of Hungarian Society of Traumatology, 1999

A bokatörés kezelésének differenciált protokollja diabetesben dr. Szlovák Sándor, dr. Cs. Frank László Szent István Kórház és Intézményei Merényi Gusztáv Kórháza Dél-pesti Trauma Centrum Budapest

Charcot-izület = A perifériás idegek károsodása következtében létrejövő progresszív, degeneratív arthropathia

Perifériás neuropátia 1. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Perifériás neuropátia 2. ,[object Object],[object Object],[object Object],[object Object]

Primer rtg: sine dislocationem

13. nap: diszlokáció, súlyos izületi destrukció

fájdalmatlan, deformált láb…

… és rtg képe

kollabált felső ugróizület

Differenciál diagnózis: osteomyelitis

ORIF

kilazult implantátum, szekunder diszlokáció

percutan talocruralis fixatio, fibula velőűrsín

két hetes trimalleolaris törés

fekvőgipszében a beteg járkált

debridement, percutan tűzés

műtét spontán desis

konzervatív kezelés spontán desis

dekubitált lábszár

Köszönjük a figyelmet !

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Diabetic arhtropathy and ankle fractures, power point

1. A bokatörés kezelésének differenciált protokollja diabetesben dr. Szlovák Sándor, dr. Cs. Frank László Szent István Kórház és Intézményei Merényi Gusztáv Kórháza Dél-pesti Trauma Centrum Budapest

2. Charcot-izület = A perifériás idegek károsodása következtében létrejövő progresszív, degeneratív arthropathia

3.

4.

5. Primer rtg: sine dislocationem

6. 13. nap: diszlokáció, súlyos izületi destrukció

7. fájdalmatlan, deformált láb…

8. … és rtg képe

9. kollabált felső ugróizület

10. Differenciál diagnózis: osteomyelitis

12. kilazult implantátum, szekunder diszlokáció

13. percutan talocruralis fixatio, fibula velőűrsín

14. két hetes trimalleolaris törés

15. fekvőgipszében a beteg járkált

16. debridement, percutan tűzés

17. műtét spontán desis

18. konzervatív kezelés spontán desis

19. dekubitált lábszár

20. Köszönjük a figyelmet !