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用于暴露和钢板固定背侧移位不稳定型桡骨远端骨折的新型手术方法。

Novel surgical method for the exposure and plating of dorsally displaced unstable distal radius fractures.

作者信息

Saodekar Hrishikesh, Salphale Yogesh Sharad, Shinde Gopal, Bhutada Gaurav, Tomar Aman, Sharma Atharva

机构信息

Dept of Orthopaedics, Dr.P.D.M. Medical College, Amravati 444602, India.

Shushrusha Multispecialty Hospital, Lane Opp.Z.P, Chandrapur 442401, India.

出版信息

Trauma Case Rep. 2024 Sep 14;54:101111. doi: 10.1016/j.tcr.2024.101111. eCollection 2024 Dec.

Abstract

The dorsal approach to the wrist is challenging because of the high number of extensor tendons crossing the wrist joint and extensor retinaculum (ER) enveloping the distal dorsal end of the radius. Dorsal plating of the radius has gained popularity owing to the concept of fragment-specific fixation of the distal radius. Here, we describe a novel method of selectively sectioning the extensor retinaculum that ensures adequate soft tissue care and good fixation with low-profile implants with good clinico- radiological outcome.

摘要

由于大量伸肌腱穿过腕关节以及伸肌支持带(ER)包绕桡骨远端背侧,腕背侧入路具有挑战性。桡骨背侧钢板固定因桡骨远端骨折块特异性固定的理念而受到欢迎。在此,我们描述一种选择性切断伸肌支持带的新方法,该方法可确保对软组织的妥善处理,并使用外形小巧的植入物实现良好固定,获得良好的临床和放射学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ade/11440290/4220d725404d/gr1.jpg

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