Radius of 1 - 3 fracture Thompson approach Application Experience.docVIP

 PAGE \* MERGEFORMAT 14 Radius of 1 / 3 fracture Thompson approach Application Experience [Keywords:] radius Since December 2001 to December 2008, our department applied by the Thompson approach plate fixation on the radial bone in 1 / 3 fractures in 35 cases, achieve a satisfactory effect, the report is as follows. 1 Materials and Methods 1.1 General Information 35 cases in 23 males and 12 females, aged 10 to 65 years, mean 38 years. 9 cases in which injured falling from height, traffic accident in 18 cases, 6 cases of sports injuries, the other 2 cases of accidental injury. Fracture 7 cases of closed fractures in 28 cases. fracture type according to AO / ASIF [1] classification, A2 ~ A3 type in 12 cases, B2 ~ B3 type 15 cases, C1 ~ C3 in 8 cases. which combined deep branch of radial nerve injury in 2, 5 cases of craniocerebral trauma, thoracic and abdominal trauma in 3 cases, multiple limb fractures were 10 cases of .35 cases of surgery, time from injury to surgery was 0 ~ 14 d, an average of 6.2 d. 1.2 Procedures Supine position, surgery under tourniquet control, outreach arm, forearm neutral position. Skin incision may be the front from the epicondyle of the humerus at the beginning, to the distal radius extending to the Lister tubercle. Cut short extensor carpi and that between the total extensor nerve plane. in proximal supinator should be exposed, and sweep aside the pull, this time, forearm supination to be placed to protect the posterior interosseous nerve. forearm supination can post side of the interosseous nerve away from the cutting area [2]. supinator found the front end point at the radius, from top to bottom for the subperiosteal dissection, and suture suspension with supinator protect superficial and deep layers to the outside Flip, the Ministry of the full exposure of the fracture, reset the appropriate choice of 3.5 mm after the series of dynamic compression plate placed on the outside of shaping, power of fixed. combined