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在局部麻醉和骨膜神经阻滞下对孤立的尺骨干骨折进行钢板固定。

Plating of an isolated fracture of shaft of ulna under local anaesthesia and periosteal nerve block.

作者信息

Ahmad Amir Adham, Ikram Mohammad Arshad

机构信息

Orthopaedic Department, International Medical University & University of Kuala Lumpur & Medical Center, Malaysia.

Orthopaedic Department, International Medical University, Clinical Campus, Seremban, 70300, Malaysia.

出版信息

Trauma Case Rep. 2017 Oct 31;12:40-44. doi: 10.1016/j.tcr.2017.10.016. eCollection 2017 Dec.

DOI:10.1016/j.tcr.2017.10.016
PMID:29644283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5887097/
Abstract

Isolated fractures of shaft of ulna are common. Plate fixation with anatomic reduction is thought to produce the best functional results in closed or open fractures. Surgery can be done under general and various types of regional anaesthesia. We report a case of fracture shaft of ulna treated by plating under a combination of WALANT (wide awake, local anaesthesia, no tourniquet) using tumescent anaesthesia and periosteal nerve block as a day care procedure.

摘要

尺骨干孤立性骨折很常见。解剖复位钢板固定被认为在闭合性或开放性骨折中能产生最佳功能结果。手术可在全身麻醉和各种类型的区域麻醉下进行。我们报告一例尺骨干骨折患者，采用肿胀麻醉和骨膜神经阻滞联合的清醒局部麻醉无止血带（WALANT）技术进行钢板内固定，作为日间手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/e28d3e30ee2f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/6dfe7aaffb62/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/0ee6efd4e7db/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/7cfa372f6326/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/ea4da9c62650/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/e28d3e30ee2f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/6dfe7aaffb62/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/0ee6efd4e7db/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/7cfa372f6326/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/ea4da9c62650/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/5887097/e28d3e30ee2f/gr5.jpg

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本文引用的文献

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Periosteal nerve blocks for distal radius and ulna fracture manipulation--the technique and early results.用于桡骨远端和尺骨骨折整复的骨膜神经阻滞——技术与早期结果
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[Implementation of the wide awake local anesthesia no tourniquet (WALANT) type of anesthesia in hand surgery].[清醒局部麻醉无止血带（WALANT）麻醉方式在手部手术中的应用]
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