橈骨小頭骨折切開(kāi)內(nèi)固定術(shù)演示文稿

橈骨小頭骨折切開(kāi)內(nèi)固定術(shù)演示文稿當(dāng)前第1頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)（優(yōu)選）橈骨小頭骨折切開(kāi)內(nèi)固定術(shù)當(dāng)前第2頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)PreoperativeAPradiographofaType2radialheadfracture.當(dāng)前第3頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)PreoperativelateralradiographofaType2radialheadfracture.當(dāng)前第4頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)PreoperativelateralradiographoftheType2radialheadfracture.當(dāng)前第5頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Theelbowisflexedandpositionedonaradiolucenttable.Theincisionbeginsjustabovethelateralepicondyleandextendsdowntowardstheulna,passingdirectlyovertheradialhead,asdepicted.當(dāng)前第6頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Theskinincisionisbroughtdownthroughthesubcutaneoustissueandthecommonextensororiginisidentified.當(dāng)前第7頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Thecommonextensororiginisincisedbetweentheanconeusandtheextensorcarpiulnarisoverthecapitellumradialhead.ANCONEUSECU當(dāng)前第8頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Theupperedgeofthecapitellumandtheradialheadareexposed.當(dāng)前第9頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)RADIALHEAD當(dāng)前第10頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Withsharpretractionandrotationoftheradialhead,thefractureisidentified.Caremustbetakennottoextendthisincisiontoofardistally,asthismaydamagetotheposteriorinterosseousnerve,asitlayovertheradialneck.ANNULARLIGAMENTRADIALHEADFRACTURE當(dāng)前第11頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)AFreerelevatororsmallosteotomeisintroducedtomobilizetheradialheadfracture.當(dāng)前第12頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)當(dāng)前第13頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)CloseupviewCAPITELLUMRADIALHEAD當(dāng)前第14頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Afteranatomicreductionisachieved,K-wiresareusedtomaintainthereduction.K-WIREREDUCTION當(dāng)前第15頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Afteranatomicreductionisachieved,K-wiresareusedtomaintainthereduction.K-WIREREDUCTION當(dāng)前第16頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Usingtheexternaljig,ascrewisplacedsuchthatitiscountersunkbelowthearticularsurfaceoftheradialhead.Inthisexample,asolidHerbertscrewisutilized.當(dāng)前第17頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Thereducedandfixedradialhead.TheHerbertscrewseatedunderthearticularsurface.Occasionally,thesecondK-wireisexchangedforaHerbertscrew.FRACTUREHERBERTSCREW當(dāng)前第18頁(yè)\共有20頁(yè)\編于星期四\2點(diǎn)Therangeofmotionoftheforearmaswellaspronationandsupinationareconfirmed,andthereductionisvisualizedthroughoutinarcofmotionoftheelbow.Ifadequatelyfixedandstable,closureisperformed.FRACTUREHERBERTSCREW當(dāng)前第19頁(yè)\共有20頁(yè)\編