桡骨小头骨折切开内固定术培训ppt课件

本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。Preoperative AP radiograph of a Type 2 radial head fracture.Preoperative AP radiograph of 1本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。Preoperative lateral radiograph of a Type 2 radial head fracture.Preoperative lateral radiograp2本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。Preoperative lateral radiograph of the Type 2 radial head fracture.Preoperative lateral radiograp3本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。The elbow is flexed and positioned on a radiolucent table.The incision begins just above the lateral epicondyle and extends down towards the ulna,passing directly over the radial head,as depicted.The elbow is flexed and positi4本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。The skin incision is brought down through the subcutaneoustissue and the common extensor origin is identified.The skin incision is brought d5本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。The common extensor origin is incised between the anconeus and the extensor carpi ulnaris over the capitellum radial head.ANCONEUSECUThe common extensor origin is 6本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。The upper edge of the capitellum and the radial head are exposed.The upper edge of the capitel7本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。RADIAL HEADRADIAL HEAD8本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。With sharp retraction and rotation of the radial head,the fracture is identified.Care must be taken not to extend this incision too far distally,as this may damage to the posterior interosseous nerve,as it lay over the radial neck.ANNULARLIGAMENTRADIAL HEAD FRACTUREWith sharp retraction and rota9本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。A Freer elevator or small osteotome is introduced tomobilize the radial head fracture.A Freer elevator or small oste10本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。桡骨小头骨折切开内固定术培训ppt课件11本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。Close up viewCAPITELLUMRADIAL HEADClose up viewCAPITELLUMRADIAL 12本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。After anatomic reduction is achieved,K-wires are used to maintain the reduction.K-WIREREDUCTIONAfter anatomic reduction is ac13本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。After anatomic reduction is achieved,K-wires are used to maintain the reduction.K-WIREREDUCTIONAfter anatomic reduction is ac14本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。Using the external jig,a screw is placed such that it is countersunk below the articular surface of the radial head.In this example,a solid Herbert screw is utilized.Using the external jig,a scre15本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。The reduced and fixed radial head.The Herbert screw seated under the articular surface.Occasionally,the second K-wire is exchanged for a Herbert screw.FRACTUREHERBERTSCREWThe reduced and fixed radial h16本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。The range of motion of the forearm as well as pronation andsupination are confirmed,and the reduction is visualizedthroughout in arc of motion of the elbow.If adequately fixedand stable,closure is performed.FRACTUREHERBERTSCREWThe range of motion of the for17本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。The common extensor mechanism is brought together,enclosed over the radio-capitellar joint.The common extensor mechanism 18本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。After closure.After closure.19本文档所提供的信息仅供参考之用，不能作为科学依据，请勿模仿；如有不当之处，请联系网站或本人删除。Lateral view,demonstrating the reductionLateral view,demonstrating th20