肱骨髁上骨牵引相关解剖学分析与临床应用

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1、英文摘要TheAnatomicandClinicalStudyofSkeletaltractionofHumeralepicondyleABSTRACTobjective：ThefractureofhumerusISacommonclinicalinjury．Thefractureofproximalhumerusisapproximately4％-5％ofthefractureofalloverthebody,45％ofallhumeralbonefracture．nefractureofshaftofhumerusis1．31％ofa

2、lloverthebody．Withthedevelopmentofindustryandtraffic，high—enemylesionoftenleadstoseriouslaceratingwoundofsofttissuecomplicatingsplinteredfractureofhumeralbone，someGustiloII、III．typefractureofhumerusiSinadvisabletooperatereductiononestagebyinternalfixation，itcannotdeployma

3、sticextemalfixation，externalfixatorandskeletaltractionofolecranonprocessofulnaarebetterchoice；thedisturbanceoftheelbowjointmotionexistsintheorthodoxskeletaltractionofolecranonprocessofulna．wefindakindoftreatedmethodtosuitthistypeofthehumeralfractureinthepractice．Theskelet

4、altractionofhumeralepicondyleisaneotypeskeletaltraction，itformsdirecttensilestrengththroughhumeraltraction，itoutweighsskeletaltractionofolecranonprocessofuln，a．Inourstudy,throughtheanatomicsearchandthemeasureofsurroundingelbowjoint，wewillfindthesafezoneandangleofneedlinga

5、ndwithdrawingneedleoftheskeletaltractionofhumeralepicondyletoprovidethestudyofreliabletheoryfor4英文摘要afterwardclinicgeneralization．Methods：15embalmedcadaverupperarmsincludingelbowiointwereobserved．A1lofthemweredissectedinneutralposition．Thecondylusmedialishumeriandcondylus

6、lateralishumeriwerechosenasanatomiclandmarks．Thetestspecimenswereonthedissectingtable．Thespecimenswerecutinthecenterofdistalmedialishumeri，allofwhichwerecutinthemicrotubule．Thenervuscutaneusbrachiilateralisandbasilicveinwereanatomizedfromsuperficialfasciatoinvestigatethei

7、rpathways；branchesanddistributions．Afterremovalofsuperficialfascia，thesuitablespatiumintermusculareandpointsofKirschnerwireweredeterminedbasingontheanatomyofupperarmmusclesandtendonsandadjacentstructureofhumeralbone．Inthesameway，thespecimenswerecutinthecenterofdistallater

8、alishumeri，thenervuscutaneusbrachiilateralisandcephalicveinwereanatomizedfromsuperficialfasciato