Mitek肘关节产品及手术应用.ppt

肘关节产品 手术技巧 谁在做肘关节手术 手外科医生上肢外科医生关节镜外科医生普通骨科医生 肘关节外科手术 远端二头肌腱撕裂肱骨外上髁炎 网球肘 内外侧副韧带撕裂 远端二头肌腱撕脱 BicepsTendonAttachmentSite DistalBicepsAttachment BicepsTendonAttachment DistalBicepsTendon Biceps DistalBicepsTendonRupture 肱骨内侧髁 尺骨茎突 撕裂的二头肌腱 常见于中年男性的dominant手 BicepsTendonReattachment2IncisionTechnique DrillHoles BicepsTendonReattachmentSingleIncision SutureAnchors SutureAnchorTechnique 1incision Lessriskofinfection lessscarringNoriskofbonetunnelbreakageEasiertoperform savesORtime JHS May2003 肱骨外上髁炎 网球肘 外上髁炎损伤 治疗 ECRB桡侧腕短伸肌的小损伤 非感染性手术治疗不常用 报道4 8 的病例用手术治疗 外科手术开放或镜下松解 shaverorRF 松解 重连接 LateralElbow 桡骨 肱骨外上髁 尺骨 LocationofECRB ECRL桡侧腕长伸肌 ECRB桡侧腕短伸肌 ECUExtensorCarpiUlnaris尺侧腕伸肌 ECRBLocationContinued MitekTechniqueBrochure Dr LorenzoWalkerCat 900091 找到ECRB松解ECRBResectLateralEpicondyle exposerawcancelloussurfaceMobilizeExtensorOrigin用2个Mitek锚钉 GII Fastin 重新连接到外上髁 内侧副韧带修复 TommyJohnSurgery MedialUCL 侧副韧带修复 MedialUCLComplex 斜束 前束 后束 MedialUCL AnteriorBandAPitchersInjury TommyJohnSurgery Namedafterthefirstpatientofulnarcollateralreplacementsurgery Doctor sname FrankJobeFirstsurgerydonein1974 WhentheRuptureOccurs Late cockingAcceleration 尺侧副韧带撕裂相关问题 过头投掷运动时缺乏稳定性在做过头投掷运动时手臂不能用力过头投掷运动时不能控制 传统UCL的修复 金标准 骨隧道技术前臂掌长肌腱或跟腱做韧带移植尺神经转置移植物8字固定韧带端用缝线缝合在一起 RepairofUCL 方法复杂 费时可用带线锚钉固定简化手术 省时减少骨隧道穿肌腱造成的创伤 AnchorsfortheElbow AnchorBody 2 4x8 8mmArcRange 7 8mmDrillHoleSize 2 4x14 2mmSuture 2Ethibond CP 2ReverseCutNeedle 2Panacryl CP 2ReverseCutNeedleAnchorMaterial TitaniumbodywithNitinolArcsPulloutlbs 25lbsIndications Foot Lateral medialankleinstability Mid footreconstruction HalluxValgus AchilliestendonrepairElbow TennisElbow BicepsTendonHand ThumbUCLandScapholunate GIIAnchor AnchorBody 4 1x6 0mmDrillHoleSize 3 5x18mmSuture 2Ethibond CP 2ReverseCutNeedle 2Panacryl CP 2ReverseCutNeedleAnchorMaterial PLAPulloutlbs 35lbsIndications Elbow BicepstendonreattachmentAnkle Achillestendonrepair Lateralstabilization Medialstabilizationatthemedialtalussite PanalokAnchor AnchorBody 3 0 x8 4mm4 0 x9 7mmSuture 2Ethibond noneedles Drillbit SelfdrillingAnchorMaterial TitaniumPulloutlbs 33 5lbs for3 0mm 61lbs 4 0mm Indications Foot Midfootreconstruction Medialorlateralinstability Achillestendon Halluxv