Radial head resection

Adults with comminuted humeral head fractures with more than 1/3 of the circumference and those with old humeral head dislocation should be removed early. Treatment of diseases: humeral head fracture, humeral head subluxation Indication Adults with comminuted humeral head fractures with more than 1/3 of the circumference and those with old humeral head dislocation should be removed early. Surgical procedure 1. Position: Upper extremity abduction, forearm pronation, placed on a small table. 2. Incision and exposure: use the posterior side of the humeral head to reveal the route (see the posterior side of the humeral head). The elbow muscle and the ulnar side of the wrist muscle enter the gap, and the longitudinal section of the switch can be used to expose the ankle joint. 3. Resection of the humeral head: After the humeral head is revealed, an annular incision is made under the humeral head, and the soft tissue is subperiosteal to the upper edge of the annular ligament to expose the tibia neck. Cover with gauze around it to isolate it from the relationship cavity. Drill a few holes in the neck, then use a bone knife to cut between the holes or cut with a bone scissors. The section uses bone wax to stop bleeding. The residual periosteum above the section should be completely removed to prevent new bone growth and affect future function. The bone section is covered with a soft tissue suture that is turned down. 4. Stitching: The bone fragments in the joint capsule should be removed. After rinsing the joint cavity, the joint capsule is sutured with a thin thread and then sutured by layer.