intraoral incision reduction

Indication Intraoral open reduction is suitable for closed fractures of the tibia and fibula without incarceration dislocation. Its main advantages: 1 reset is reliable; 2 method is simple and easy to damage; 3 does not affect the appearance, does not leave the scar outside the mouth; 4 does not need to be fixed. Contraindications Complexity and incarcerated fractures should not be used. Preoperative preparation Prepare flat, blunt strippers or rooted, fiber optic lighting equipment. Surgical procedure After anesthesia on the buccal side of the maxillary vestibular sulcus, an incision of about 2 to 3 cm along the vestibular sulcus was used. After separation with a curved vascular clamp, the flat periosteal separator or the dentate was used to extend the lateral extension of the maxillary nodule. The humerus arch is deep, the end of the instrument is placed under the fracture of the tibia, and the upper molar is used as the fulcrum. The displaced humerus is forced to move outwards and the other hand is placed at the injury of the sacral arch. When force is applied to the reset, the fracture reduction sound can be touched or smelled, which proves that it has been completely reset and does not need to be fixed. If necessary, make a film review to confirm whether it is properly reset. This method is simple, easy, and effective. complication Wound infection.

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