桡骨小头骨折切开内固定术演示文稿

桡骨小头骨折切开内固定术演示文稿当前第1页\共有20页\编于星期四\2点（优选）桡骨小头骨折切开内固定术当前第2页\共有20页\编于星期四\2点PreoperativeAPradiographofaType2radialheadfracture.当前第3页\共有20页\编于星期四\2点PreoperativelateralradiographofaType2radialheadfracture.当前第4页\共有20页\编于星期四\2点PreoperativelateralradiographoftheType2radialheadfracture.当前第5页\共有20页\编于星期四\2点Theelbowisflexedandpositionedonaradiolucenttable.Theincisionbeginsjustabovethelateralepicondyleandextendsdowntowardstheulna,passingdirectlyovertheradialhead,asdepicted.当前第6页\共有20页\编于星期四\2点Theskinincisionisbroughtdownthroughthesubcutaneoustissueandthecommonextensororiginisidentified.当前第7页\共有20页\编于星期四\2点Thecommonextensororiginisincisedbetweentheanconeusandtheextensorcarpiulnarisoverthecapitellumradialhead.ANCONEUSECU当前第8页\共有20页\编于星期四\2点Theupperedgeofthecapitellumandtheradialheadareexposed.当前第9页\共有20页\编于星期四\2点RADIALHEAD当前第10页\共有20页\编于星期四\2点Withsharpretractionandrotationoftheradialhead,thefractureisidentified.Caremustbetakennottoextendthisincisiontoofardistally,asthismaydamagetotheposteriorinterosseousnerve,asitlayovertheradialneck.ANNULARLIGAMENTRADIALHEADFRACTURE当前第11页\共有20页\编于星期四\2点AFreerelevatororsmallosteotomeisintroducedtomobilizetheradialheadfracture.当前第12页\共有20页\编于星期四\2点当前第13页\共有20页\编于星期四\2点CloseupviewCAPITELLUMRADIALHEAD当前第14页\共有20页\编于星期四\2点Afteranatomicreductionisachieved,K-wiresareusedtomaintainthereduction.K-WIREREDUCTION当前第15页\共有20页\编于星期四\2点Afteranatomicreductionisachieved,K-wiresareusedtomaintainthereduction.K-WIREREDUCTION当前第16页\共有20页\编于星期四\2点Usingtheexternaljig,ascrewisplacedsuchthatitiscountersunkbelowthearticularsurfaceoftheradialhead.Inthisexample,asolidHerbertscrewisutilized.当前第17页\共有20页\编于星期四\2点Thereducedandfixedradialhead.TheHerbertscrewseatedunderthearticularsurface.Occasionally,thesecondK-wireisexchangedforaHerbertscrew.FRACTUREHERBERTSCREW当前第18页\共有20页\编于星期四\2点Therangeofmotionoftheforearmaswellaspronationandsupinationareconfirmed,andthereductionisvisualizedthroughoutinarcofmotionoftheelbow.Ifadequatelyfixedandstable,closureisperformed.FRACTUREHERBERTSCREW当前第19页\共有20页\编