跟骨骨折手術(shù)方法.ppt

跟骨骨折手術(shù)方法.ppt

ID：49356168

大?。?.67 MB

頁數(shù)：28頁

時間：2020-02-04

跟骨骨折手術(shù)方法.ppt_第1頁
跟骨骨折手術(shù)方法.ppt_第2頁
跟骨骨折手術(shù)方法.ppt_第3頁
跟骨骨折手術(shù)方法.ppt_第4頁
跟骨骨折手術(shù)方法.ppt_第5頁
資源描述：

《跟骨骨折手術(shù)方法.ppt》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。

1、Preoplateraldemonstratingjointdepressiontypeoffracturewithdisplacementofatuberosityandextensionintothecalcanealcuboidjoint.The30degreesemi-coronalandaxialCATscansofthefracture.TALUSDISPLACEDPOSTERIORFACETINTACTPOSTERIORFACETSECONDARYFRACTURELINETUBEROSITYANTEROLATERALFR

2、AGMENTTHALAMIC(SUSTENTACULAR)FRAGMENTDISPLACEDPOSTERIORFACETThepatientispositionedcarefullyinthelateraldecubituspositionwithpadsundertheaxillaanddownsideperonealnerve.Thedownlegisplacedforwardagainstandparallelwiththeanterioredgeofthebed.Pillowsareplacedbetweenthelegsan

3、denoughsheetsbehindthedownlegsuchthattheoperativelegliesparallelwiththegroundandatthelevelofthepatient’ship.Thewrinkletest,asdescribedbySanders,involvesdorsiflexingthefootfromaplantar-fixedpositionandlookingfornormalskinturgor,asevidencedbywrinklingoftheskinalongthearea

4、ofthelateralpartofthefoot.ANTERIORACHILLESBORDERINCISIONPERONEALTENDONSFIFTHMETATARSALTheincisionisslightlycurvedandL-shaped,beginningjustanteriortotheAchilles,curvingattheleveloftheskincolorchange,runningparallelwiththesoleofthefootandthencurvingslightlyupanteriorlyati

5、tsdistalextent.FIBULAWiththetourniquetinflated,thecorneroftheincisionisbroughtdirectlydowntobone.ABDUCTORFASCIATowardthedistalextentoftheincisionthefasciaoftheabductorshouldbeidentifiedanddissectionshouldbeperformedsuperficiallytothissoasnottodevascularizethemusclelayer

6、.Inordertodissectdirectlyonthecalcaneusinasubperiostealmanner,significanttensionshouldbedevelopedbyholdingtheheelinvertedwiththethumbandpullingdirectlylaterallyawayfromthefootwithasharpretractorhelddeepintheflap.TENSIONThetensionasdevelopedallowsforeasydissectioninasubp

7、eriostealmanner,withaknifethatisheldessentiallyparallelwiththebone.Many#15bladeswillbenecessaryinordertodissectouttheentirecalcaneus.PERONEALTENDONSAftertheflapiscompletelyelevated,theperonealtendonsarevisibleatthedistalextentoftheflap.Caremustbetakennottodamagetheseten

8、donsasthedissectionprogressesdistally.LATERALPROCESSOFTALUSCloseupviewdemonstratingthatwithflapelevationthelat

當前文檔最多預(yù)覽五頁，下載文檔查看全文

此文檔下載收益歸作者所有

當前文檔最多預(yù)覽五頁，下載文檔查看全文
溫馨提示：
1. 部分包含數(shù)學公式或PPT動畫的文件，查看預(yù)覽時可能會顯示錯亂或異常，文件下載后無此問題，請放心下載。
2. 本文檔由用戶上傳，版權(quán)歸屬用戶，天天文庫負責整理代發(fā)布。如果您對本文檔版權(quán)有爭議請及時聯(lián)系客服。
3. 下載前請仔細閱讀文檔內(nèi)容，確認文檔內(nèi)容符合您的需求后進行下載，若出現(xiàn)內(nèi)容與標題不符可向本站投訴處理。
4. 下載文檔時可能由于網(wǎng)絡(luò)波動等原因無法下載或下載錯誤，付費完成后未能成功下載的用戶請聯(lián)系客服處理。