桡骨远端骨折ORIF术后,在离开手术室之前应检查哪些内容? 1. Ensure all screws are extra-articular - Radial inclined lateral view (radiocarpal joint) - AP view (DRUJ) - ROM for crepitation 1. 确保所有螺钉均位于关节外 - 桡倾侧位像(桡腕关节) - 正位像 (DRUJ) - 关节活动无摩擦音 2. Screws are appropriate length - Lateral view - Dorsal horizon view - Radial groove view 2.螺钉长度合适 - 侧位像 - 背侧水平像 - 桡侧沟像 - Proximal to watershed line - Centered on shaft on AP 3. 钢板位置 - 分水岭线近端 - 正位像上位于桡骨干中央 4. Articular reduction - No intra-articular step or gap - Teardrop angle restored to normal 4. 关节面复位 - 无关节内台阶或间隙 - 泪滴角恢复正常 5. DRUJ stability - Stress in neutral, pronation and supination 5. DRUJ 稳定性 - 在中立、旋前和旋后位上紧张 6. Missed injury - Scaphoid, ulna, carpal fracture - Scapholunate ligament, lunotriquetral ligament, perilunate dislocation 6. 遗漏的损伤 - 舟骨、尺骨、腕骨骨折 - 舟月韧带、月三角韧带、月骨周围脱位 |
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