肱骨近端骨折固定.pptVIP

肱骨近端骨折的固定 When surgery is decided Goal of oRiF. Restoration of humeral height+++ Room for tuberosities Restore muscles effects Adverse conditions metaphyseal defect Sma∥ fragment Porotic bone anatomical reduction Usual Reduction (theorical goal) (with impaction) Usual oRIF in PHF= mechanical compl How to stabilize an hemispher By pushing on the circumference! Solid and stable plateform upon which a strong push is possible without cortical perforation The intra focal t basic princiPio Titanium staple and stem +tension band Mrs F..75 y.o. -4 part fracture h Pre-op 24 months 到947 1992 20