桡骨小头骨折切开内固定.ppt

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1、Preoperative AP radiograph of a Type 2 radial head fracture.Preoperative lateral radiograph of a Type 2 radial head fracture.Preoperative lateral radiograph of the Type 2 radial head fracture.The elbow is flexed and positioned on a radiolucent table. The incision begins just above the lateral epicon

2、dyle and extends down towards the ulna, passing directly over the radial head, as depicted.The skin incision is brought down through the subcutaneoustissue and the common extensor origin is identified.The common extensor origin is incised between the anconeus and the extensor carpi ulnaris over the

3、capitellum radial head.ANCONEUSECUThe upper edge of the capitellum and the radial head are exposed.RADIAL HEADWith 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 FRACTUREA Freer elevator or small osteotome is introduced tomobilize the radial head fracture.

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