孟氏骨折讲义.ppt

;Monteggia fractures;Concept;Concept;Incidence;1、韧带：环状、方形、斜形、骨间膜2、神经：桡神经深支、尺神经;;Mechanism of injury;Classification;分型？;PresentationDiagnosis;诊断与鉴别诊断;诊断与鉴别诊断;;治疗目标;治疗原则;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;a, b) A 57-year-old woman with Bado Type II,Jupiter Type IIc, Mason type II fracture.;c, d) Treatment with lowcontact dynamic compression plate, resection of a little radial head fragment, and refixation of the radial capsule and ligament by anchors.;e–h) Functional outcome 5 months after primary osteosynthesis.;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;治疗方法;儿童陈旧性孟氏骨折;治疗方法;1983-2005年 22例陈旧性孟氏骨折;;A twelve-year-old girl reported that she had fallen from a bar at the age of six years. ;open reduction with use of a posterior angulation and elongation ulnar osteotomy and anular ligament reconstruction with use of the remnant of the anular ligament augmentedby the forearm fascia（前臂深筋膜）;屈曲16°，延长13mm，术后6年随访病人没有不适，X片示桡骨头复位良好，没有骨性关节炎改变，术后MEPI（Mayo Elbow Performance Index）评分是100.;;治疗方法;;治疗方法; ;治疗方法;治疗方法;治疗方法;治疗方法;Reported complications;康复要点;;;内固定术后复查X光;;;;; Thanks for listening;Type 1(anterior) Monteggia fracture前侧型或伸直型;Type 2(posterior) Monteggia fracture后侧型或屈曲型;The classification of Type II Bado injuries into four subtypes by Jupiter et al. ———Jupiter JB, Leibovic SJ, Ribbans W, Wilk R. The posterior Monteggia lesion. J Orthop Trauma 1991;5:395–402. ;Type 3(lateral) Monteggia fracture外侧型或内收型;Type 4 Monteggia fracture特殊型;