Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,精选ppt,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,二级,三级,四级,五级,精选ppt,*,1,精选ppt,1精选ppt,Preoperative AP radiograph of a Type 2 radial head fracture.,2,精选ppt,Preoperative AP radiograph of,Preoperative lateral radiograph of a Type 2 radial head fracture.,3,精选ppt,Preoperative lateral radiograp,Preoperative lateral radiograph of the Type 2 radial head fracture.,4,精选ppt,Preoperative lateral radiograp,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.,5,精选ppt,The elbow is flexed and positi,The skin incision is brought down through the subcutaneous,tissue and the common extensor origin is identified.,6,精选ppt,The skin incision is brought d,The common extensor origin is incised between the anconeus and the extensor carpi ulnaris over the capitellum radial head.,ANCONEUS,ECU,7,精选ppt,The common extensor origin is,The upper edge of the capitellum and the radial head are exposed.,8,精选ppt,The upper edge of the capitel,RADIAL HEAD,9,精选ppt,RADIAL HEAD9精选ppt,With sharp retraction and rotation of the radial head,the fracture,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.,ANNULAR,LIGAMENT,RADIAL HEAD FRACTURE,10,精选ppt,With sharp retraction and rota,A Freer elevator or small osteotome is introduced to,mobilize the radial head fracture.,11,精选ppt,A Freer elevator or small oste,12,精选ppt,12精选ppt,Close up view,CAPITELLUM,RADIAL HEAD,13,精选ppt,Close up viewCAPITELLUMRADIAL,After anatomic reduction is achieved,K-wires,are used to maintain the reduction.,K-WIRE,REDUCTION,14,精选ppt,After anatomic reduction is ac,After anatomic reduction is achieved,K-wires,are used to maintain the reduction.,K-WIRE,REDUCTION,15,精选ppt,After anatomic reduction is ac,Using the external jig,a screw is placed such that it is countersunk below the articular surface of the radial head.In this example,a solid Herbert screw is utilized.,16,精选ppt,Using the external jig,a scre,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.,FRACTURE,HERBERT,SCREW,17,精选ppt,The reduced and fixed radial h,The range of motion of the forearm as well as pronation and,supination are confirmed,and the reduction is visualized,throughout in arc of motion of the elbow.If adequately fixed,and stable,closure is performed.,FRACTURE,HERBERT,SCREW,18,精选ppt,The range of motion of the for,The common extensor mechanism is brought together,enclosed over the radio-capitellar joint.,19,精选ppt,The common extensor mechanism,After closure.,20,精选ppt,After closure.20精选ppt,Lateral view,demonstrating the reduction,21,精选ppt,Lateral view,demonstrating th,感谢亲观看此幻灯片，此课件部分内容来源于网络，,如有侵权请及时联系我们删除，谢谢配合！,感谢亲观看此幻灯片，此课件部分内容来源于网络，,