【正文】
、分離,說明固定不牢靠或活動量太大,減少鍛煉,必要時加強固定,切復(fù)加壓鋼板(gāngbǎn)內(nèi)固定 (5),第一百一十三頁,共一百四十頁。,注意事項: 1 首先選擇非粉碎的、形狀穩(wěn)定的先固定,然后操作另一個(yī ɡ232。y236。,5 對位(du236。ngy236。,手法(shǒufǎ)復(fù)位外固定 切開復(fù)位加壓鋼板內(nèi)固定 切開復(fù)位髓內(nèi)釘固定,治療(zh236。ogǔ)雙骨折 概述,第一百零三頁,共一百四十頁。,尺骨干(gǔg224。,尺骨干(gǔg224。,尺骨干(gǔg224。,橈骨(r225。,橈骨(r225。,橈骨(r225。,橈骨(r225。,第八十七頁,共一百四十頁。,第八十三頁,共一百四十頁。,Postoperative AP and lateral views demonstrating anatomic reduction and alignment of the radius and ulna.,第七十九頁,共一百四十頁。,This is cleaned, reduced and fixed in exactly the same fashion as the radius was, using a 6hole DCP plate and in compressive mode. These images show the plate in place with screw holes, allowing for compression in the final compressed fracture.,第七十五頁,共一百四十頁。,These images demonstrate the superficial dissection down to the fascia directly over the ulna, which is the common fascia between the flexor carpi ulnaris and the extensor carpi ulnaris. This is divided in line with the muscles directly over the subcutaneous border of the ulna.,第七十一頁,共一百四十頁。,第六十七頁,共一百四十頁。,HOLE ECCENTRICALLY ILLUSTRATED,第六十三頁,共一百四十頁。,第五十九頁,共一百四十頁。,In the current case, the fracture is a simple pattern and is reduced by delivering the bones jointly, accentuating the deformity and then rotating and fitting the bones together with progressive compression while pushing the bones back into the wound, obtaining alignment by steric interference of one side against the other.,第五十五頁,共一百四十頁。,After exposure of the volar aspect of the radius proximally and distally, two clamps can be placed on the ends of the bone in order to deliver them for cleaning.,第五十一頁,共一百四十頁。,The radial artery may be taken in either direction, however, typically it is easier to take the artery to the radial side.,FCR,RADIAL ARTERY,第四十七頁,共一百四十頁。,第四十三頁,共一百四十頁。nɡ)手術(shù)入路,第三十九頁,共一百四十頁。ogǔ)復(fù)雜骨折,第三十八頁,共一百四十頁。,C2.1 兩段 ,尺骨(chǐgǔ)完整,第三十五頁,共一百四十頁。,C1.1 兩端(liǎnɡ duān),橈骨完整,第三十二頁,共一百四十頁。,B3.2 橈骨(r225。n)鍥型,第二十七頁,共一百四十頁。,B2.1 完整(w225。 pi224。,A 3 簡單(jiǎndān)的雙骨折,第二十二頁,共一百四十頁。,A2.2 橫型骨折(gǔzh233。,A 1.3 伴有橈骨頭脫位(tuō w232。,A1.1 斜型骨折(gǔzh233。)后區(qū),第十四頁,共一百四十頁。nb236。,前臂(qi225。)后區(qū) 深層,第十頁,共一百四十頁。,橈神經(jīng)深支和后側(cè)骨間神經(jīng):橈神經(jīng)在肘窩外側(cè),肱骨外上髁前方,分淺、深兩支 橈神經(jīng)深支發(fā)出肌支至橈側(cè)腕長、短伸肌和旋后肌,然后(r225。)前區(qū),第八頁,共一百四十頁。nb236。nb236。)內(nèi)容,第二頁,共一百四十頁。)骨折 五附院骨二科,第一頁,共一百四十頁。nb236。uk232。,前臂(qi225。,前臂(qi225。nb236。)前區(qū),第九頁,共一百四十頁。nb236。)后區(qū),第十一頁,共一百四十頁。,前臂(qi225。nb236。)骨折AO分型,第十五頁,共一百四十頁。),第十七頁,共一百四十頁。),第十九頁,共一百四十頁。i)(蓋氏骨折),第二十一頁,共一百四十頁。,B1.2 帶有碎片(su236。i)(孟氏骨折),第二十五頁,共