最新distalra橈骨遠端匯總課件

distalra橈骨遠端distalra橈骨遠端Lateralviewradiographofanintraarticulardistalradiusfracture.LateralviewradiographofanBAREAREAEPL2mcThebareareaoftheradiusisidentified.BAREAREAEPL2mcThebareareaoA5-mmincisionismadeoverthebareareaoftheradius.A5-mmincisionismadeovertAfineclampisusedtodissectgentlydowntobonetoavoiddamagetoneurologicandvascularstructures.AfineclampisusedtodissecOncetheclampisonbone,twoRagnellretractorsareusedtoretractthetendonstoeithersideoftheradius.Asmallkeyelevatorisusedtocleananareaofboneforthepincannulas.Oncetheclampisonbone,twoBONEBoneisvisualizedatthebaseoftheincision,confirmingthatthereisnodangertothesuperficialradialnerveorotherstructures.BONEBoneisvisualizedattheAcannulasystemisusedfordrillingandhalf-pinplacement.AcannulasystemisusedfordAftertheholeisdrilled,theinnercannulaisremovedandthepinisplacedthroughtheoutercannula.Aftertheholeisdrilled,theTodeterminethelocationofthesecondpin,apinclampisused.TodeterminethelocationoftAfterbothproximalpinsareplaced,fluoroscopyconfirmstheappropriatelength.Afterbothproximalpinsarep最新distalra橈骨遠端匯總課件Thedistalpinsareplacedintothesecondmetacarpal.Themarkonthemetacarpalindicatesthefirstpin,placednearthebaseofthesecondmetacarpal.Thesecondpinisplaceddistaltothisusingapinclampasaguidetoitslocation.Thedistalpinsareplacedint最新distalra橈骨遠端匯總課件Theforearmafterthetwosetsofpinsareplaced.Theconnectingrodsareappliedtotheframe,thentheinitialreductionisperformed.TheforearmafterthetwosetsTheinitialreductionisperformedbyflexingtheelbow,slightlysupinatingtheforearmandpullinggentletraction.TheinitialreductionisperfoTheframeisthentightenedinthispositionandradiographsareobtainedwith10degreesofangulationineachdirection.Theframeisthentightenedin10°10°Asmalldorsalincisioncanbemadeforthepercutaneousreductionofimpactedfragmentsaswellasforbonegrafting.AsmalldorsalincisioncanbeAcurvedosteotomeisusedtoelevateanimpactedulnar-sidedfragment.AcurvedosteotomeisusedtoAcurvedosteotomeisusedtoelevateanimpactedulnar-sidedfragment.AcurvedosteotomeisusedtoWhilethefragmentisbeingheldinplace,aK-wirecanbedrivenacrossfromthestyloidintothefragment,holdingitinareducedposition.Whilethefragmentisbeinghe最新distalra橈骨遠端匯總課件Allograftboneorotherbonegraftsubstitutemaybeintroducedintothedorsaldefectatthispoint.AllograftboneorotherbonegClinicalpictureoftheexternalfixatorandpercutaneouspininplace.ItisimportantatthistimetotestthatfullflexionoftheMPandIPjointsispossible,aswellasmotionofthethumb,confirmingthatnoneofthetendonsareimpingedandthatthereisnotoverdistractionofthecarpus.ClinicalpictureoftheexternAPradiographafterfixation.APradiographafterfixation.此課件下載可自行編輯修改，僅供參考！

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感謝您的支持，我們努力distalra橈骨遠端distalra橈骨遠端Lateralviewradiographofanintraarticulardistalradiusfracture.LateralviewradiographofanBAREAREAEPL2mcThebareareaoftheradiusisidentified.BAREAREAEPL2mcThebareareaoA5-mmincisionismadeoverthebareareaoftheradius.A5-mmincisionismadeovertAfineclampisusedtodissectgentlydowntobonetoavoiddamagetoneurologicandvascularstructures.AfineclampisusedtodissecOncetheclampisonbone,twoRagnellretractorsareusedtoretractthetendonstoeithersideoftheradius.Asmallkeyelevatorisusedtocleananareaofboneforthepincannulas.Oncetheclampisonbone,twoBONEBoneisvisualizedatthebaseoftheincision,confirmingthatthereisnodangertothesuperficialradialnerveorotherstructures.BONEBoneisvisualizedattheAcannulasystemisusedfordrillingandhalf-pinplacement.AcannulasystemisusedfordAftertheholeisdrilled,theinnercannulaisremovedandthepinisplacedthroughtheoutercannula.Aftertheholeisdrilled,theTodeterminethelocationofthesecondpin,apinclampisused.TodeterminethelocationoftAfterbothproximalpinsareplaced,fluoroscopyconfirmstheappropriatelength.Afterbothproximalpinsarep最新distalra橈骨遠端匯總課件Thedistalpinsareplacedintothesecondmetacarpal.Themarkonthemetacarpalindicatesthefirstpin,placednearthebaseofthesecondmetacarpal.Thesecondpinisplaceddistaltothisusingapinclampasaguidetoitslocation.Thedistalpinsareplacedint最新distalra橈骨遠端匯總課件Theforearmafterthetwosetsofpinsareplaced.Theconnectingrodsareappliedtotheframe,thentheinitialreductionisperformed.TheforearmafterthetwosetsTheinitialreductionisperformedbyflexingtheelbow,slightlysupinatingtheforearmandpullinggentletraction.TheinitialreductionisperfoTheframeisthentightenedinthispositionandradiographsareobtainedwith10degreesofangulationineachdirection.Theframeisthentightenedin10°10°Asmalldorsalincisioncanbemadeforthepercutaneousreductionofimpactedfragmentsaswellasforbonegrafting.AsmalldorsalincisioncanbeAcurvedosteotomeisusedtoelevateanimpactedulnar-sidedfragment.AcurvedosteotomeisusedtoAcurvedosteotomeisusedtoelevateanimpactedulnar-sidedfragment.AcurvedosteotomeisusedtoWhilethefragmentisbeingheldinplace,aK-wirecanbedrivenacrossfromthestyloidintothefragment,holdingitinareducedposition