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An intentionally loosely placed modular metal radial head prosthesis can help to restore stability in conjunction with repair of other fractures and reattachment of the lateral collateral ligament to the epicondyle in the setting of traumatic elbow instability with a comminuted fracture of the radial head.

伴有粉碎性桡骨头骨折的创伤性肘关节不稳治疗中,在修复其他骨折以及重建肱骨外髁侧副韧带止点的同时,人为宽松地置入桡骨头假体,有利于重建肘关节稳定性。

On the basis,design retrograde radial bone island flap pedicled with anterior interosseous artery.

临床设计以骨间前动脉背侧支为蒂的桡骨皮瓣逆行移位,骨皮瓣中桡骨瓣支撑于第一、二掌骨间或修复掌骨缺损,皮瓣修复虎口、手背尺桡侧的皮肤缺损。

The perpendicular and longitudinal distance of the radial branch to the radial styloid was (0.8 ± 0.3) cm and (1.5 ± 0.4) cm respectively.

结论以桡骨茎突为中心,横向距离0.4cm,纵向距离0.6cm的椭圆形区域为桡神经分布相对盲区,从该区经皮克氏针固定桡骨远端,可有效地减少桡神经浅支损伤的发生率。

May be parts of wrist radial styloid process of the radial styloid process stenosing tenosynovitis, treatment:(1) early wrist with a small splint or cast immobilization, physical therapy, hot pack or Chinese herb fumigation.

有可能是左腕桡骨茎突部位的桡骨茎突狭窄性腱鞘炎,治疗:(1)早期手腕用小夹板或石膏固定、理疗、热敷或中药薰洗。

Objective: according to anatomic research the infant elbow joint and clinical observation of hyperpronation and supination treatment radial head subluxation,to explore the best reduction method of radial head subluxation .

目的:通过对幼儿肘关节解剖学研究和旋前、旋后复位法治疗桡骨小头半脱位的临床疗效观察,探讨桡骨小头半脱位的最佳复位手法。

Results About 55% of the force was transferred through the radial head when the elbow was in extension and the forearm in pronation. When the radial head was sectioned, the stress at the lateral aspect of the ulna- trochlea joint increased greatly than at the middle aspect.

结果经桡骨头传导的应力大小约占所施加应力的55%,桡骨头切除后,所施加的应力完全由肱尺关节承受,肱尺关节外侧关节面应力增加的幅度明显较内侧关节面大。

Objective: To discuss the treatment effect of the radius and ulna fractures in children using plastic splints.

摘要]目的:探讨塑形夹板治疗儿童尺桡骨双骨折的效果;方法:19例儿童尺桡骨双骨折的住院病人使用以手法复位,夹板固定为主的方式治疗。

The knowledge of relationship between cutaneous nerves and veins in the dorsal of hand could help us to reduce the pain of patients during venepuncture.

①由尺骨茎突、桡骨茎突和第三掌骨头形成的三角形区域为"乏神经区";②由尺骨茎突至第3、4指蹼和由桡骨茎突至第1、2、3指蹼的连线为掌背皮神经的体表投影;③注意这些解剖学关系,在静脉穿刺时可减少病人痛苦。

Results The long term results of the vascularized fibular graft varied in different types of bone defects. Nine patients with congenital pseudoarthrosis of tibia had the limb function restored in 65% and one had nonunion of fibular graft, 3 fractures(7 times), and 5 angular deformities. Three patients with congenital radial deficiency had 62% restoration of the limb function. All of them showed early closure of epiphyses of the grafted fibulae. Five cases with osteomyelitis and bone defects combined soft tissue deficiency had 94% restoration of the limb function, and only one occurred fracture of fibular graft. One case with soft tissue defect and concomitant ulnar defect, ulnar nerve and median nerve injury, 67% function of limb was recovered, and union of fibula graft was good. 100% function of limb was recovered in 1 case with cavernoma of radius and without occurring valgus deformity of donor site.

结果应用带血管腓骨移植修复骨缺损的远期效果因缺损类型的不同而存在较大差异。9例先天性胫骨假关节患者,术后肢体功能恢复65%,其中移植腓骨骨不连1例、骨折3例(7次)、成角畸形5例;3例先天性桡骨缺如患者,术后肢体功能恢复62%,3例术后均出现移植腓骨骨骺线早闭,畸形复发;5例骨髓炎、骨外露、骨缺损并软组织缺损患者,术后肢体功能恢复94%,仅1例发生移植腓骨骨折;1例前臂软组织缺损并尺骨缺损,尺神经、正中神经损伤者,术后肢体功能恢复67%,骨愈合顺利;1例桡骨海绵状血管瘤者,术后肢体功能恢复100%,骨愈合顺利。

Our surgical protocol included fixation or replacement of the radial head, fixation of the coronoid fracture if possible, repair of associated capsular and lateral ligamentous injuries, and in selected cases repair of the medial collateral ligament and/or adjuvant hinged external fixation.

我们回顾性研究了两个大学的附属医院的36个患者(36个肘关节),都有肘关节脱位伴桡骨头和冠状突骨折。我们的外科原则包括桡骨头的固定及置换,可能的冠状突固定。

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