1、本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。Preoperative AP radiograph of a Type 2 radial head fracture.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。Preoperative lateral radiograph of a Type 2 radial head fracture.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。Preoperative lateral radiograph
2、 of the Type 2 radial head fracture.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。The elbow is flexed and positioned on a radiolucent table.The incision begins just above the lateral epicondyle and extends down towards the ulna,passing directly over the radial head,as depicted.本文档所提供的信息仅供参考之用,不能作为
3、科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。The skin incision is brought down through the subcutaneoustissue and the common extensor origin is identified.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。The common extensor origin is incised between the anconeus and the extensor carpi ulnaris over the capitellum radi
4、al head.ANCONEUSECU本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。The upper edge of the capitellum and the radial head are exposed.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。RADIAL HEAD本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。With sharp retraction and rotation of the radial head,the fra
5、cture 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 FRACTURE本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。A Freer elevator or small osteotome is introduc
6、ed tomobilize the radial head fracture.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。Close up viewCAPITELLUMRADIAL HEAD本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。After anatomic reduction is achieved,K-wires are used to maintain the reduction.K-W
7、IREREDUCTION本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。After anatomic reduction is achieved,K-wires are used to maintain the reduction.K-WIREREDUCTION本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。Using the external jig,a screw is placed such that it is countersunk below the articular surface
8、of the radial head.In this example,a solid Herbert screw is utilized.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。The reduced and fixed radial head.The Herbert screw seated under the articular surface.Occasionally,the second K-wire is exchanged for a Herbert screw.FRACTUREHERBERTSCREW本文档所提供的信息仅供参
9、考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。The range of motion of the forearm as well as pronation andsupination are confirmed,and the reduction is visualizedthroughout in arc of motion of the elbow.If adequately fixedand stable,closure is performed.FRACTUREHERBERTSCREW本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。The common extensor mechanism is brought together,enclosed over the radio-capitellar joint.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。After closure.本文档所提供的信息仅供参考之用,不能作为科学依据,请勿模仿;如有不当之处,请联系网站或本人删除。Lateral view,demonstrating the reduction