Transhumeral surgical neck amputation

After the shoulder joint is broken, the shoulders and condyles are relatively prominent and press against the skin and rub against the prosthetic sleeve, often causing pain and discomfort, and the amputation of the sacral neck can avoid residual limb pain. Treating diseases: surgical steps Incision The incision of the flap, the first incision cut from the sacral protrusion along the anterior edge of the deltoid muscle to its stopping point, and then turned to the outer posterior side, and cut along the posterior edge of the deltoid muscle to the axillary fossa; the second incision cut through the axillary fossa from the anterior medial aspect of the shoulder joint A slit ends are connected. Cut the skin and subcutaneous tissue and turn the flap up. Ligation and cutting of the cephalic vein. 2. Treatment of blood vessels, nerves Cut the pectoralis major muscle from the stop point and turn it to the inside. The biceps tendon and diaphragm were cut in the humeral neck plane, and the iliac and vein were dissected in the posterior aspect of the pectoralis minor muscle. Cut after double sewing. The median nerve, ulnar nerve, phrenic nerve, and musculocutaneous nerve were freed. After being blocked with 1% procaine, they were slightly pulled to the distal side and then cut in different planes, and then retracted to the deep side of the pectoralis minor muscle. . 3. Cut off muscles and osteotomy First cut off the deltoid stop and turn it up, then cut the big round muscle and latissimus dorsi from the stop point. Cut the triceps at the plane of the osteotomy, retract the muscle ends, saw the humeral neck, and remove the sharp edges of the bone ends. 4. Suture incision Irrigation of the wound with isotonic saline, complete hemostasis, suture the sacral stump and deltoid muscle, facilitate the stump abduction, indwell the drainage strip or drainage tube, suture the wound layer by layer.

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