資源描述:
《陳舊性bennett骨折的處理》由會員上傳分享,免費在線閱讀,更多相關內(nèi)容在教育資源-天天文庫。
1、Bennett'sFractureofthe?ThumbDepartmentofHandSurgeryYingChuanGuoLongHospitalChunYanHuangMDThefracturedescribedbyEdwardHallaranBennettin1882,however,isanunstableobliquefractureenteringthecarpometacarpaljointataboutthemiddleofthearticularsurfaceDefinitionCompositionFructionDamagemechanismsABennett
2、’sfractureoccurswhenthemetacarpalboneinthethumbbreaksanddislocatesatthebaseofthethumb.?Thisinjuryoccurswhenaforceisplacedonthethumbwhenitisslightlybent.?Bennett’sfracturescanresultfromanysignificantforcesplacedonthebaseofthethumb,suchassports,fallsandaccidentsTreatment——FreshinjuryProblem——Join
3、tinstabilityYourdoctorwillevaluateyourx-raystodeterminetheappropriatetreatmentfortheinjury.Ifthejointsurfaceislinedupwell,acastcanbeusedfortreatment.Ifthejointsurfaceisoutofposition,usuallysurgerywillberecommended.Atthetimeofsurgery,yourdoctorwilldetermineifthebonescanbeheldinplacewithpinsplace
4、dthroughtheskin.Ifnot,anincisionismadetoproperlyalignthebonefragments.Treatment——ChronicinjuriesArthrodesisComparedLigamentReconstructionandTendonInterpositionThumbCarpometacarpalOsteoarthritis:ArthrodesisComparedwithLigamentReconstructionandTendonInterpositionTheJournalofBoneandJointSurgery(Am
5、erican)83:1470-1478(2001)畸形愈合伴持續(xù)性半脫位可發(fā)展為腕掌關節(jié)疼痛性關節(jié)炎。6周后不應再嘗試復位。一旦出現(xiàn)退行性關節(jié)炎,應行關節(jié)融合術或關節(jié)成形術——GiachinoThankyou!