【正文】 。 五附院骨二科 ? 伴有下尺橈關節(jié)脫位〔蓋氏骨折〕 第二十八頁，共一百四十頁。 五附院骨二科 ? 橈骨鍥型，尺骨簡單骨折 第三十頁，共一百四十頁。 五附院骨二科 ? 兩端，橈骨完整 第三十二頁，共一百四十頁。 五附院骨二科 ? 不規(guī)那么 第三十四頁，共一百四十頁。 五附院骨二科 ? 兩段 ，尺骨骨折 第三十六頁，共一百四十頁。 五附院骨二科 ? C 3 尺橈骨復雜骨折 第三十八頁，共一百四十頁。 AP and lateral views of the both bones fracture of the forearm, demonstrating significant shortening and relatively simple oblique fracture patterns. 第四十頁，共一百四十頁。 A useful technique to make the skin incision is to take a bovi cord and pull it taught from the radial side of the biceps tendon to the FCR at the level of the wrist. This can then be used as a template for the incision line. 第四十二頁，共一百四十頁。 The incision is taken down through the skin, identifying the fascial layer with care taken not to damage any superficial veins that may be intact. The FCR tendon is clearly visible throughout the wound, as is the radial artery in the distal extent of the wound. FCR RADIAL ARTERY 第四十四頁，共一百四十頁。 FCR RADIAL ARTERY The fascia on the radial side of the flexor carpi radialis is released, exposing the deep tissue. The radial artery can be followed now throughout the entire incision. 第四十六頁，共一百四十頁。 The deep dissection is now performed between the flexorpronator mass on the ulnar side and the artery and the mobile wad on the radial side. 第四十八頁，共一百四十頁。 FDS The pronator is being released from the radial aspect of the radius in a subperiosteal manner. This subperiosteal dissection continues distally to release the origin of the mon flexor. 第五十頁，共一百四十頁。 FCR RADIAL ARTERY Each side of the fracture is be delivered in order to expose and clean the cortical edges. 第五十二頁，共一百四十頁。 Once the fractures are pletely cleaned along their cortical edges such that the fracture reduction can be visualized, the two clamps are used to reduce the fracture. If a butterfly fragment exists, it is necessary to fix this with a lag screw back to one of the fracture ends in order to realign the fracture. 第五十四頁，共一百四十頁。 Once the bones are held reduced, as seen in the following sequence, an appropriate dynamic pression plate is placed and held in place with a clamp. It is important that this plate must have the appropriate bend for the volar aspect of the forearm so as not to gap open the dorsal side as the plate is fixed to the bone. Thus, it should be slightly underbent with respect to the standard volar concavity. 第五十六頁，共一百四十頁。 第五十八頁，共一百四十頁。 These figures demonstrate reduction of the fracture with a plate held in place on the flat,