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[辐射头关节整形:珍珠和陷]

Jan Philipp Hockmann, Valentin Rausch, Tim Leschinger

Zeitschrift fur Orthopadie und Unfallchirurgie

|February 4, 2025

概括

辐射头部骨折是常见的上肢损伤. 辐射头关节整形为无法重建的骨折提供解决方案,可使用各种假肢设计和固定技术.

科学领域:

整形外科手术整形外科手术
创伤学创伤学创伤学
生物医学工程生物医学工程

背景情况:

辐射头部骨折是常见的上肢损伤,通常与复杂的创伤有关.
梅森/约翰斯顿系统对这些骨折进行分类.
发病率的增加需要有效的治疗策略.

研究的目的:

审查放射性头关节整形术的指示.
详细介绍手术方法和植入技术.
讨论并提供管理常见并发症的策略.

主要方法:

对案例报告的审查.
假肢设计的分析 (极性,模块化,固定).
讨论手术技术和并发症管理.

主要成果:

当骨折无法重建或骨质合成失败时,放射性头关节整形术是适用的.
有各种各样的假肢设计和固定方法 (水泥,无水泥,故意松动).
常见的陷包括刚性,不稳定性和过度填充.

结论:

辐射头关节整形是复杂的辐射头骨折的一个可行的选择.
仔细考虑假肢设计和手术技术至关重要.
积极管理潜在的并发症对于最佳结果至关重要.

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Bones of the Upper Limb: Radius

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a short...