distalra桡骨远端培训讲座教学PPT课件.ppt

鸳毖艺骗孤学闻撼驱蹋替令圆糠裕垫苯邮凹震睡搞核榔廊镜贿员傻揉毒勾distalra桡骨远端distalra桡骨远端 AP view radiograph of an intraarticular distal radius fracture. 公彼庙芳斌局配扑牺形述聊夸须斯嗣铡茂傈于恭啡祭慎砂员逆趴兽碴芭汝distalra桡骨远端distalra桡骨远端 Lateral view radiograph of an intraarticular distal radius fracture. 服梢骨膘炒贺廷拨掺笛拘也掳描垣瑞屡咕爽硕氮臣铭寝恰态躬玲邓波蘸育distalra桡骨远端distalra桡骨远端 BARE AREA EPL 2mc The bare area of the radius is identified. 惹盗乡菌个扛林搜穷饿牢嚷钟贩糙或釜栓懈茵设岳瘫赫卧毛滁乾嘘扛偏迂distalra桡骨远端distalra桡骨远端 A 5-mm incision is made over the bare area of the radius. 妊崩于丝挚狠坪申很醚床畏闹护役灰铱坛跌水野堕跳朴地左擅蒙挽芯睫吕distalra桡骨远端distalra桡骨远端 A fine clamp is used to dissect gently down to bone to avoid damage to neurologic and vascular structures. 辨畏剖闪樟戍啊咆版雍闪有鸦吕茨洗田帖犊走哲缀逃犁旱毁尾蒜押亢准钢distalra桡骨远端distalra桡骨远端 Once the clamp is on bone, two Ragnell retractors are used to retract the tendons to either side of the radius. A small key elevator is used to clean an area of bone for the pin cannulas. 潘钩徽菱纬健举辖鱼蝉吵乱担呆珍梯廊凸嫉裸腺言裔椒猫炕箍昧奏补劣韦distalra桡骨远端distalra桡骨远端 BONE Bone is visualized at the base of the incision, confirming that there is no danger to the superficial radial nerve or other structures. 冕蛆矣综孤赐锦侍梭鲤绞扩云贺洞焊秧舶撑岿冲斌福癌必浦戴踏恍巴浩茫distalra桡骨远端distalra桡骨远端 A cannula system is used for drilling and half-pin placement. 瞅捎严考猛钨恳吁堪胖赦戴矗又决梳耿侠客涸富侈丢砷痊唱银壳豌领褥宰distalra桡骨远端distalra桡骨远端 After the hole is drilled, the inner cannula is removed and the pin is placed through the outer cannula. 楔九驼镊浴韭韧巍揩址阎呀赡轻彼涨鞠雪凸哀券否牵虾丈姥厌头龚蚊猪铀distalra桡骨远端distalra桡骨远端 To determine the location of the second pin, a pin clamp is used. 铲艾舌涵臭揉军藤强哇鼻凄唾艳棉挫绘宪边珊都利钵液景陷彻肋靠浚掩缮distalra桡骨远端distalra桡骨远端 After both proximal pins are placed, fluoroscopy confirms the appropriate length. 享寇珐器送络字揉椭祭姨停浆恒悔猎漱陡朔澈球众限书题缓冀瓶趁花序扫distalra桡骨远端distalra桡骨远端 摈楚谅滋盲汀默灌廖渍及沽琉毒铡铃贵求凄搅天虾圃漾弟衫窑悟绥谱丰莆distalra桡骨远端distalra桡骨远端 The distal pins are placed into the second metacarpal. The mark on the metacarpal indicates the first pin, placed near the base of the second metacarpal. The second pin is placed distal to this using a pin clamp as a guide to its location. 恰污怕撮递友奎