Trauma
เรื่อง | เมื่อจบชั้นปีที่ 1 | เมื่อจบชั้นปีที่ 2 | เมื่อจบชั้นปีที่ 3 | เมื่อจบชั้นปีที่ 4 | ||||||||
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L1 (Knows & Knows how) | L2 (Shows how) | L3 (Does) | L1 (Knows & Knows how) | L2 (Shows how) | L3 (Does) | L1 (Knows & Knows how) | L2 (Shows how) | L3 (Does) | L1 (Knows & Knows how) | L2 (Shows how) | L3 (Does) | |
Fracture BB forearm | fracture healing, surgical anatomy of forearm | principle of osteosynthesis, complication of fracture, surgical approach of shaft of BB forearm | plate osteosysthesis of middle and distal shaft of BB forearm ( simple fracture ) | : Plate osteosysthesis of middle and distal shaft of BB forearm ( difficult fracture) | Plate osteosysthesis of middle and distal shaft of BB forearm ( simple fracture ) | complication of treatment | : Plate osteosysthesis of proximal shaft of BB forearm | Plate osteosysthesis of middle and distal shaft of BB forearm ( any fracture ) | ||||
Fracture distal femur | : Fracture healing, Mechanism of injury,Principle of Investigation | Deforming force, Patient positioning | Preoperative planning, Complications of treatment | Surgical approach , Principles of reduction and osteosynthesis | : Implant selection (advantages& disadvantages) | : Technique of reduction and osteosynthesis, Evaluation of fracture reduction | Surgical approach technique and selection | : Implant selection | Surgical approach, Technique of reduction and osteosynthesis, Evaluation of fracture reduction | |||
Intertrochanteric fracture | : Fracture healing | Classification and fracture interpretation | : Implant option and selection | : Reduction technique | CR with Cephalomedullary nail | : CR with Dynamic hip screw | : Open or percutaneous reduction technique | Complication of fixation | Salvage procedure for failure fixation Cephamedullary nailing | |||
Fracture of middle clavicle | : fracture healing | application of figure of eight splint | : principle of osteosynthesis, complication of fracture treatment | : ORIF with plating / pinning | complication of treatment | bone grafting and application of plate | ORIF with plating / pinning, bone grafting and application of plate | |||||
Fracture of distal humerus | : Fracture healing, Cartilage healing | Classification of distal humerus fracture, principles of osteosynthesis, complications of fracture | : Complications of treatment | Surgical approach to distal humerus fracture | : ORIF with plate and screws Correction of complication of treatment | : ORIF with plate and screws | ||||||
Fx neck of femur | Natural history of injury, fracture healing, principles of management, principles of internal fixation | Complications of treatment, principles of nonunion treatment | Preoperative planning for internal fixation (multiple screw fixation, dynamic hip screw and antirotational screw, bipolar hip replacement, and total hip replacement | Postoperative evaluation, open reduction of femoral neck (Watson’s Jones, Smith Peterson approach, etc) | Multiple screw fixation, dynamic hip screw and antirotational screw (Closed reduction) | Valgus osteotomy, treatment in special situations (ipsilateral femoral neck and shaft, stress fracture, metastatic fracture) Total hip arthroplasty | Bipolar hip replacement, and total hip replacement, open reduction and internal fixation of femoral neck | |||||
Fracture Olecranon | Applied anatomy Fracture healing | Principle of Olecranon fracture treatment and complication Principle of Tension band | ORIF with tension band wire in simple olecranon fracture | Postoperative care and complication of treatment | ORIF with plate and screws / TBW in complex olecranon fracture | ORIF with tension band wire in simple olecranon fracture | ORIF with plate and screws / TBW in complex olecranon fracture ( eg ; fracture dislocation, combine with other elbow fractures ) | |||||
Fracture of proximal humerus | Fracture healing, Anatomy of the humerus, Rotator cuff and neurovascular anatomy | : Evaluation and Classification, Principle of osteosynthesis, Complication of fracture | Nonoperative treatment: Close reduction with U-slab | Nonoperative treatment: Apply U-slab | Surgical approaches, Complication of treatment | ORIF with plate and screws | CRIF or ORIF with pinning | Controversies and future direction of treatment | Hemiarthroplasty, Total shoulder arthroplasty | ORIF with plate and screws | ||
fracture shaft of femur | principle of fracture healing | classification of femoral fracture,principle of osteosynthesis and stability,complication of fracture,treatment option | external fixation,plating of femur | complication of treatment | antegrade and retrograde nailing Treatment of fracture complication | external fixation, plate fixation of femur | treatment of complication | management of specific femoral fracture such as ipsilateral neck-shaft,bilateral fracture | antegrade and retrograde nailing, plate and external fixation Treatment of fracture complication | |||
Fx shaft tibia | bone form and function. | principle of fracture healing. | classify of tibial shaft fracture, discuss methods of immobilization presently used. | discuss indication, expected outcome, limitation and complication of each method. | describe patient assessment for possible compartment syndrome. | approach to managing open fracture ( DCO vs ETC ) | reduction and fixation technique for simple tibial shaft fracture ( Nailing vs Plating ) | reduction and fixation technique for complex tibial shaft fracture ( Nailing vs Plating ) and multiple trauma | treatment for complication ( delay-union, non-union and malunion ) | reduction and fixation technique for complex tibial shaft fracture ( Nailing vs Plating ) and multiple traumatreatment for complication ( delay-union, non-union and malunion ) | ||
Fracture Acetabulum/Pelvis | Applied anatomy | Mechanism of Injury Evaluation Classification | Early evaluation&management unstable pelvic fracture | TREATMENT OPTION Choice of Surgical Treatment | Surgical Approach | Management Unstable Pelvic fracture e.g. ext fix | Postoperative care OUTCOME & COMPLICATION | Surgical approach and definite fixation Pelvis&acetabulum | Plating pubic symphysis, posterior wall fracture | |||
Major Joint Fracture & Dislocation | Applied anatomy | Mechanism of Injury Evaluation Classification | TREATMENT OPTION Choice of Surgical Treatment | Closed reduction Surgical Approach | Postoperative care OUTCOME & COMPLICATION | Open reduction and or Fixation | Open reduction and or Fixation | |||||
Compartment Syndrome | Applied anatomy | Physiology$ Pathogenesis | Evaluation & Measurement | Surgical approaches, Complication of treatment | Surgical Decompression | Evaluation & Measurement | Wound management | Fasciotomy & Treatment complication | ||||
Damage control orthopedic | Physiology of DCO | Definition of the patients selection | approach to managing DCO vs ETC | DCO Management |