席智杰桡骨远端骨课件.pptVIP

手术治疗的常用固定器械 常见的钢板 掌侧切口 一枚钢板固定 外固定支架合并内固定 背侧双钢板 三钢板固定 髓内钉固定 关节镜辅助下手术. 功能锻炼 开始时间：固定后即刻开始 要求：早期进行指间关节、掌指关节、肩关节、肘关节活动 外固定拆除后进行腕关节的屈伸、旋转及前臂的旋转活动 但对于粉碎性骨折要进行早期的腕关节活动，使关节面得到模造 功能评定——4个90° 并发症分析 (1) Tendon Irritation or Rupture Due to Past-pointing of Distal Screws? All screws are past the dorsal cortex and into the tendons,? but none will be seen as too long on a lateral x-ray. 螺钉进入关节 尺月撞击症 神经损伤 Pain was persistent and disabling The patient is a 79 years old who had a?distal radius fracture which was treated with an volar plate Intraoperative view with the screw tip impinging on the p