桡骨小头骨折切开内固定术

1、.preoperative AP radio graph of a type 2 radial head fracture。preoperative lateral radio graph of a type 2 radial head fracture。Preoperative lateral radio graph of the type 2 radial head fracture。The elbow is flexed and positioned on a radio lucent table。the incision begins just above the lateral ep

2、icondyle and extends down towards the ulna，Passing directly over the radial head，as depicted，The skin incision is brought down through The subcutaneous tissue and The common extensor origin is identified。The common extensor origin is incised between The anco neus and The extensor carpi ul naris over

3、 The capitel lum radial head，anco neus，ecco，The upper edge of The capitel lum and The radial head are exposed。radial head、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 posteri

4、or interosseous nerve，As it layover the radial、annular ligament、radial head fracture、A freer elevator or small osteo tome is introducted to moblize the radial head fracture。close up view、capitel lum、radial head、After anatomic reduction is achived、k-wires are used to maintain the reduction、k-wire、red

5、uction、after anatomic reduction is achived，K-wires are used to maintain the reduction。k-wire、reduction、using the external jig，A screw is placed such that it is counter sunk below the articular surface of the radial head。in this example，a solid Herbert screw is utilized。The reduced and fixed radial h

6、ead。the Herbert screw seated under the articular surface。occasionally，The second k-wire is exhanged for a Herbert screw。fracture、Herbert screw、The range of motion of The forearm as well as pro nation And supi nation are confirmed，And The reduction is visualized througout in arc of motionif adequadtely fixed and stable，closure is performed。fracture、Herbert screw、the common extensor mechanism is brought togeth