1. بنام خداوند جان وخرد

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

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

4. Reduction CR OR

5. fixation
CR+casting
CRIF
ORIF

6. Fixation
Splint
Casting
Traction
External fixator
Internal fixator

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

9. CR
Technique

10. CR

11. CR

12. CR

13. CR

14. Traction
Skin traction
Skeletal traction

17. Skeletal traction
Skin should be prepped
Anesthesia
complications

19. Internal fixation
Incision
Timing
Infection

20. Internalfixation
Reduction
Direct
Indirect

21. Internal fixation
Compression fixation
Lag effect
buttress

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

23. Internal fixation Non compression techniques Biologic fixation
Cerclage

24. Thank you