骨科手术大全（Department of orthopedics surgery Daquan）.docVIP

骨科手术大全（Department of orthopedics surgery Daquan） DHS internal fixation for comminuted fracture of femoral trochanter Operation procedure: 1. after the successful anesthesia, supine position, the right lumbar back pad 45 degrees, in the C- arm machine fluoroscopy traction reduction fracture, routine disinfection towel. 2. take the right trochanter of femur as the starting point and make the lateral longitudinal incision. The length of 10cm is cut by layer by layer, and the fascia lata, vastus lateralis muscle and periosteum are dissected vertically to expose the lateral part of the upper femur. 3. see intraoperative femoral intertrochanteric comminuted fracture of the greater trochanter and lesser trochanter were split and shift, the reduction of the fracture, with a needle stick into the femoral neck at the front into the head as the femoral neck anteversion direction, to the greater trochanter below about 2cm drilling needle points, in the 1350 position guide to determine the angle and a guide pin parallel to determine the anteversion, drill into the femoral neck, C- arm fluoroscopy were satisfactory fracture reduction and needle position is good, the measured needle in the femoral neck of long 8cm, long DHS with 7.5cm screw, adjust the cutter, the guide needle drill reamer 7.5cm well drilling and tapping wire, thread, screw in 7.5cm DHS screws, loading chute plate, the plate close to the femur, one by one drilling screw in 4 screws, DHS screws screwed into the screw, the fracture was compressed, check the activity of the hip, wash the wound, a drainage tube, layer by layer seam Combined incision, completion of operation. Patellar fracture 1. supine position 2. routine disinfection shop towels. 3. in the right knee joint transverse arc incision, incision fascia, expose the patellar fracture end, and fracture of patellar ligament of knee joint cavity expansion, flushing, clearance of hematoma, see comminuted fracture, displacement, fracture reduction, to maintain th