【正文】 一百四十頁。 第八十五頁，共一百四十頁。 第八十三頁，共一百四十頁。 第八十一頁，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。 第七十七頁，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 pressive mode. These images show the plate in place with screw holes, allowing for pression in the final pressed fracture. 第七十五頁，共一百四十頁。 ECU EXTENSOR CARPI ULNARIS FCU FLEXOR CARPI ULNARIS 第七十三頁，共一百四十頁。 These images demonstrate the superficial dissection down to the fascia directly over the ulna, which is the mon 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。 This image shows that the fracture is also pressed on the opposite side due to proper contouring of the plate. Once the radius is fixed, the ulna is approached using a standard subcutaneous longitudinal incision with the arm flexed, as seen in the next image. 第六十九頁，共一百四十頁。 第六十七頁，共一百四十頁。 In a similar fashion to the first screw, the second screw is placed on the opposite side of the fracture, also eccentrically away from the fracture. By pressing these two screws against the plate the fracture is translated and pressed together as shown in the following sequence. 第六十五頁，共一百四十頁。 HOLE ECCENTRICALLY ILLUSTRATED 第六十三頁，共一百四十頁。 The following sequence demonstrates using the offset drill guide to place an eccentrically drilled hole away from the fracture. The screw is placed to the point where it abuts but is not inserted pletely within the plate until it is affixed on the other side. 第六十一頁，共一百四十頁。 第五十九頁，共一百四十頁。 第五十七頁，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 pression 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。 These figures demonstrate delivery of the distal fragment and a curved curette being used to clean the cortical edge. No cleaning should be performed within the intramedullary canal,as this is healthy tissue and can be useful for the healing process. 第五十三頁，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