锚钉在创伤骨科中的应用 .ppt

腕骨间韧带 掌侧观 舟状骨 月状骨 三角骨 下方观 舟状骨 月状骨 三角骨 Scapholunate Ligament- Dorsal 手腕部 – 肌腱 掌侧观 背侧观 屈肌腱 指深屈肌腱) 伸直肌腱 纽扣畸形 垂状指 拇长屈肌腱 中间束 外侧束 滑雪拇指- 尺侧副韧带撕裂 用带线锚钉修补 尺侧副韧带损伤机制 修补金标准 锚钉最常用!!! 指深屈肌腱(aka Jersey Finger or FDP) 用带线锚钉修补 指深屈肌腱 金标准修补 锚钉 伸肌腱 – 锤状指 锤状指 带线锚钉修补 伸肌腱 – 纽扣指 纽扣畸形 带线锚钉修补 伸肌腱 – 鹅颈畸形 鹅颈畸形 用带线锚钉修补 Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) Enter Name of Presentation (View menu - Header and Footer) 锚钉在创伤骨科中的应用 传统的修复方法及其不足之处 石膏或绷带外固定法、钢丝缝合法、缝线缝合法、 骨开洞后腱性组织置入固定法等 ●不牢固 ●时间长且疗效不佳 ●关节粘连、僵硬 ●组织再次断裂 ●创伤部位残留疼痛 ●部分功能丧失 选用锚钉的优势体现 ☆ 创伤小、操作简单快捷、手术时间短 ☆ 降低感染的风险 ☆ 完全恢复原解剖对合关系 ☆ 固定可靠、抗牵拉强度高 ☆ 外固定时间短、康复迅速 ☆ 避免并发症，病人痛苦减轻 ☆ 无需二次手术 便捷 有效 创伤小 尤其适合骨骼肌腱连接部位病根的修复 比如肌腱止点损伤的修复 关节韧带与骨骼复合体部位病损的修复 比如关节稳定性重建 锚钉在上肢损伤中运用 肩袖的切开修复 盂唇的切开修复