Mitek肘关节产品及手术应用

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1、肘关节产品&手术技巧谁在做肘关节手术?手外科医生上肢外科医生关节镜外科医生普通骨科医生肘关节外科手术远端二头肌腱撕裂肱骨外上髁炎（网球肘）内外侧副韧带撕裂远端二头肌腱撕脱BicepsTendonAttachmentSiteDistalBicepsAttachmentBicepsTendonAttachmentDistalBicepsTendonBicepsDistalBicepsTendonRupture肱骨内侧髁尺骨茎突撕裂的二头肌腱常见于中年男性的dominant手BicepsTendonReattachment2Incisi

2、onTechnique–DrillHolesBicepsTendonReattachmentSingleIncision–SutureAnchorsSutureAnchorTechnique1incision…Lessriskofinfection&lessscarringNoriskofbonetunnelbreakageEasiertoperform,savesORtime.JHS-May2003肱骨外上髁炎网球肘外上髁炎损伤&治疗ECRB桡侧腕短伸肌的小损伤,非感染性手术治疗不常用(报道4-8%的病例用手术治疗)外科手术开

3、放或镜下松解(shaverorRF)松解，重连接LateralElbow桡骨肱骨外上髁尺骨LocationofECRBECRL桡侧腕长伸肌ECRB桡侧腕短伸肌ECUExtensorCarpiUlnaris尺侧腕伸肌ECRBLocationContinuedMitekTechniqueBrochure(Dr.LorenzoWalkerCat#900091)找到ECRB松解ECRBResectLateralEpicondyle&exposerawcancelloussurfaceMobilizeExtensorOrigin用2个Mite

4、k锚钉(GII,Fastin)重新连接到外上髁内侧副韧带修复TommyJohnSurgery(MedialUCL)侧副韧带修复MedialUCLComplex斜束前束后束MedialUCL:AnteriorBandAPitchersInjury“TommyJohnSurgery”Namedafterthefirstpatientofulnarcollateralreplacementsurgery.Doctor’sname:FrankJobeFirstsurgerydonein1974WhentheRuptureOccursLat

5、e-cockingAcceleration尺侧副韧带撕裂相关问题过头投掷运动时缺乏稳定性在做过头投掷运动时手臂不能用力过头投掷运动时不能控制传统UCL的修复“金标准”骨隧道技术前臂掌长肌腱或跟腱做韧带移植尺神经转置移植物8字固定韧带端用缝线缝合在一起RepairofUCL方法复杂，费时可用带线锚钉固定简化手术&省时减少骨隧道穿肌腱造成的创伤AnchorsfortheElbowAnchorBody:2.4x8.8mmArcRange:7.8mmDrillHoleSize:2.4x14.2mmSuture:#2Ethibond&CP-2

6、ReverseCutNeedle#2Panacryl&CP-2ReverseCutNeedleAnchorMaterial:TitaniumbodywithNitinolArcsPulloutlbs.:~25lbsIndications:Foot:Lateral&medialankleinstability,Mid-footreconstruction,HalluxValgus&AchilliestendonrepairElbow:TennisElbow,BicepsTendonHand:ThumbUCLandScapholunat

7、eGIIAnchorAnchorBody:4.1x6.0mmDrillHoleSize:3.5x18mmSuture:#2Ethibond&CP-2ReverseCutNeedle#2Panacryl&CP-2ReverseCutNeedleAnchorMaterial:PLAPulloutlbs.:~35lbsIndications:Elbow:BicepstendonreattachmentAnkle:Achillestendonrepair,Lateralstabilization,Medialstabilizationatt

8、hemedialtalussitePanalokAnchorAnchorBody:3.0x8.4mm4.0x9.7mmSuture:#2Ethibond(noneedles)Drillbit:SelfdrillingAnchorMat