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本文档共20页；当前第1页；编辑于星期日\16点38分（优选）桡骨小头骨折切开内固定术本文档共20页；当前第2页；编辑于星期日\16点38分PreoperativeAPradiographofaType2radialheadfracture.本文档共20页；当前第3页；编辑于星期日\16点38分PreoperativelateralradiographofaType2radialheadfracture.本文档共20页；当前第4页；编辑于星期日\16点38分PreoperativelateralradiographoftheType2radialheadfracture.本文档共20页；当前第5页；编辑于星期日\16点38分Theelbowisflexedandpositionedonaradiolucenttable.Theincisionbeginsjustabovethelateralepicondyleandextendsdowntowardstheulna,passingdirectlyovertheradialhead,asdepicted.本文档共20页；当前第6页；编辑于星期日\16点38分Theskinincisionisbroughtdownthroughthesubcutaneoustissueandthecommonextensororiginisidentified.本文档共20页；当前第7页；编辑于星期日\16点38分Thecommonextensororiginisincisedbetweentheanconeusandtheextensorcarpiulnarisoverthecapitellumradialhead.ANCONEUSECU本文档共20页；当前第8页；编辑于星期日\16点38分Theupperedgeofthecapitellumandtheradialheadareexposed.本文档共20页；当前第9页；编辑于星期日\16点38分RADIALHEAD本文档共20页；当前第10页；编辑于星期日\16点38分Withsharpretractionandrotationoftheradialhead,thefractureisidentified.Caremustbetakennottoextendthisincisiontoofardistally,asthismaydamagetotheposteriorinterosseousnerve,asitlayovertheradialneck.ANNULARLIGAMENTRADIALHEADFRACTURE本文档共20页；当前第11页；编辑于星期日\16点38分AFreerelevatororsmallosteotomeisintroducedtomobilizetheradialheadfracture.本文档共20页；当前第12页；编辑于星期日\16点38分本文档共20页；当前第13页；编辑于星期日\16点38分CloseupviewCAPITELLUMRADIALHEAD本文档共20页；当前第14页；编辑于星期日\16点38分Afteranatomicreductionisachieved,K-wiresareusedtomaintainthereduction.K-WIREREDUCTION本文档共20页；当前第15页；编辑于星期日\16点38分Afteranatomicreductionisachieved,K-wiresareusedtomaintainthereduction.K-WIREREDUCTION本文档共20页；当前第16页；编辑于星期日\16点38分Usingtheexternaljig,ascrewisplacedsuchthatitiscountersunkbelowthearticularsurfaceoftheradialhead.Inthisexample,asolidHerbertscrewisutilized.本文档共20页；当前第17页；编辑于星期日\16点38分Thereducedandfixedradialhead.TheHerbertscrewseatedunderthearticularsurface.Occasionally,thesecondK-wireisexchangedforaHerbertscrew.FRACTUREHERBERTSCREW本文档共20页；当前第18页；编辑于星期日\16点38分Therangeofmotionoftheforearmaswellaspronationandsupinationareconfirmed,andthereductionisvisualizedthroughoutinarcofmotionoftheelbow.Ifadequatelyfixedandstable,closureisperformed.FRACTUREHERBERTSCREW本文档共20页；当前第19页；编辑于星期日