Open reduction and internal fixation for radial and ulna shaft fractures
In addition to the length of the forearm, the ulna and radius also constitute the humerus-radio joint, humerus-ulnar joint, wrist joint, and upper, lower ulnar, and radial joints. Except for the extensor and flexor muscles of the forearm, the biceps and supinator muscles of the pronation muscle group stop at 1/3 of the radius; the pronator muscles and pronation muscles of the pronation muscle group stop at Middle 1/3 and lower 1/4 of the radius. The above muscles and joints not only enable the ulna and radius to extend and flex, but also enable the radius to rotate around the ulna. Due to the complex and important functions of the ulna and radius, the treatment guidelines for fractures should be anatomical reduction, strong fixation, to prevent complications, and to restore function as soon as possible. Therefore, the indications for open reduction of ulnar and radial shaft fractures are: 1. Closed reduction failure Or manually reset after external fixation. 2. The fracture has been 1 to 2 weeks, and there is still severe displacement.
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