另外还有钢板固定，点击下图观看：
机器翻译字幕，仅供参考：
tension band wiring of a transverse electric sure miller AO classification -
横向电动确定米勒 AO 分类的张力带接线 -
21 b1
21 b1
these are the x-rays of a 51 year old female who fell sustaining a transverse
这些是一名 51 岁女性的 X 光片，她
fracture of the olecranon miller AO classification - 1 b1 the fracture
因鹰嘴米勒AO 分类的横向骨折跌倒 - 1 b1
was treated using the tension band technique
使用张力带技术治疗骨折
the objectives of this presentation are to understand the biomechanics of
本演讲的目的是了解张力带布线的生物力学
tension band wiring to know the indications for tension band wiring to
了解张力带布线的适应症
be familiar with the instruments and implants needed and be able to perform
熟悉所需的器械和植入物并能够进行
the reduction and fixation of the fracture
骨折
the tension band principle was first described by Frederick Powell's in 1927
的复位和固定 首先描述了张力带原理Frederick Powell 在 1927
he observed that when a curved bone is loaded or a straight bone is
年观察到，当弯曲的骨头被加载或直的骨头被
eccentrically loaded one side of the bone will be compressed and the other
偏心加载时，
side distracted if a device is applied eccentrically to
如果将装置偏心地施加到
the tension side of the bone this tension band converts tensile forces
骨头的张力侧，则骨头的一侧会被压缩，而另一侧会分散，这个张力带 将张力转换
into compression forces at the opposite cortex
为对面皮层的压缩力
here is the tension band principle demonstrated on a simulated electron on
这里是张力带原理d 在模拟电子上演示
fracture repaired using a figure of eight tension band pressure measurements
使用 8 个张力带的图形修复骨折
are recorded from the articular surface and the outer cortex when the elbow is
记录来自关节表面和外皮层的压力测量 当肘部
flexed actively using the biceps muscle the compression force across the
使用二头肌主动弯曲时，关节表面的压缩力在
articular surface is maintained throughout the range of movement
整个范围内保持不变
when the elbow is actively extended using the triceps muscle between the
使用三头肌在
angles of sixty and ninety degrees there's an increase in the compression
60 度和 90 度角之间主动伸展肘部
force at the articular surface the tension band converts the tensile force
时的运动 关节面的压缩力增加张力带将
caused by the active use of the triceps muscle into a compression force at the
主动使用三头肌产生的拉伸力转换为压缩力 在
opposite cortex
相反的皮质
tension band wiring is applied to fractures of the electron on the patella
张力带接线应用于髌骨上的电子骨折
the greater tuberosity of the humerus and the greater trochanter
肱骨大结节和大转子
the instruments used are from left to right the large pointed reduction
使用的器械从左到右 大尖复位
forceps the sharp hook the two millimeter drill bit and the 2.0 triple
钳 锋利的钩子 2毫米钻头和 2.0 三重
drill guide also needed are the small wire cutter the flat nosed parallel
导钻器还需要小wi 重新切割平头平行
pliers the wire bending pliers the bending iron fork a wires and the hammer
钳 钢丝弯曲钳弯曲铁叉 a 电线和锤子 使用
the implants used are a coil of 1 millimeter diameter circular wire and
的植入物是一个由 1毫米直径的圆形钢丝和
21.6 millimeter diameter k wires
21.6 毫米直径的 k 钢丝组成
the patient is positioned supine on the radiolucent table the extremity is
的线圈 患者仰卧在射线可透台上 肢体是
prepared from the axilla to the hand this preparation allows rotation of the
从腋窝到手准备 这种准备允许
forearm as well as flexion and extension of the elbow during the operative
前臂旋转以及在手术固定过程中肘部弯曲和伸展
fixation
the bone model has a transverse fracture of the olecranon
骨骼模型有鹰嘴横向骨折
four centimeters distal to the fracture line a hole is drilled transversely
骨折线远端四厘米横向钻孔
through the ulna with the two millimeter drill bit using a drill guide
尺骨和两毫米钻头，使用导钻器
the hole is positioned roughly in the center of the bone
孔大致位于骨头
the fracture is reduced with the large pointed reduction forceps the fragment
的中心 用大尖头复位钳复位骨折
is held in the reduced position using the sharp hook
用锋利的钩子
the forceps is then applied to the reduced fracture making sure not to
将碎片固定在复位位置 然后使用镊子 至复位骨折，确保不要
block the later insertion site of the K wires the hook is now removed a piece of
阻塞钩子所在的 K 线的后期插入部位现在取出
one millimeter cerclage wire roughly 50 centimeters long is cut from the coil a
一根约 50 厘米长的 1 毫米环扎线从线圈上剪下
loop is made by hand approximately one third along the wire the loop is then
用手绕线绕三分之一圈 然后
twisted with the flat nosed parallel pliers
用平头平行钳子扭绞
the shorter end of the cerclage wire is introduced from medial to lateral
引入环扎线的较短端
through the hole using the wire bending pliers on the ulnar side the wire is
使用尺侧的钢丝弯曲钳从内侧到外侧穿过孔 钢丝
bent near the hole so that the prepared loop lies approximately two centimeters
在孔附近弯曲，以便
proximal to the hole using the triple end of the 2.0 drill guide the first 1.6
使用2.0 钻头的三端引导第一个 1.6
millimeter k wire is inserted through the point of the electron on parallel to
毫米 k，准备好的环靠近孔约 2 厘米 将金属丝通过平行于尺骨干的电子点插入，并
the shaft of the ulna and as close as possible to the joint
after the anterior cortex has been perforated the k-wire is retracted
在前皮质穿孔后尽可能靠近关节，使用剪线钳将克氏针缩回
approximately 1 centimeter
约 1 厘米。
using the wire cutters the k-wire is now trimmed obliquely about 1 centimeter
现在
above the drill guide the drill guide is removed the reduction forceps is now
在导钻器上方倾斜修剪约 1 厘米 导钻器被移除 复位钳现在
removed the drill guide is put back in place and positioned for the
被移除 导钻器被放回原位 a 定位为平行于
introduction of the second K wire parallel to the first
第一根克氏针的引入
after perforating the anterior cortex this k-wire is also retracted one
在前皮层穿孔后，此克氏针也缩回一
centimeter the second k-wire is also cut obliquely
厘米 第二个克氏针也被
with the wire cutters
剪线钳斜切
the drill guide is removed the end of the cerclage wire that has the loop is
移除导钻器具有环的环扎线
wrapped around the 2 K wires and a figure of 8 in clinical practice the
缠绕在 2 K 线上，临床实践中的数字 8
wire is passed beneath the triceps tendon just next to the bone the two
线穿过三头肌腱下方，紧邻骨骼
ends of the cerclage wire are twisted together twice by hand it is important
环扎线的两端用手拧在一起两次 这很重要
that the wires be twisted symmetrically around each other and not one wire
电线彼此对称缠绕，并且没有一根电线
twisted around the other incorrect twisting results in a weakened construct
缠绕在另一根电线上 不正确的扭绞会导致结构变弱
that may fail under load the ends of the wires are trimmed with
，在负载下可能会失效用剪线钳修剪电线的末端
the wire cutters
to tighten the wire the flat-nosed parallel pliers and the wire bending
以收紧电线 平头平行钳 并使用弯
pliers are used the wires are pulled and twisted at the same time to ensure that
线钳，同时拉线和扭线，以确保
tension is applied equally this procedure is repeated alternately on
均匀施加张力，此过程交替重复 在
either side of the bone the wires should be twisted a minimum of
骨头的任一侧，电线应至少扭曲
four times
四次
you
the excess wire is trimmed with the wire cutter
，多余的电线用电线切割器修剪，
using the wire bending pliers the wire is bent so that it lies close to the
使用电线弯曲钳弯曲电线，使其靠近
bone
骨头
this step is repeated on the other side
，在另一侧重复此步骤
you
with the wire bending iron the k-wire is bent approximately 120 degrees
用弯线铁将克氏针弯曲大约 120 度
the k-wire is trimmed with the wire cutter
the k-wire is then bent further using the wire bending pliers so that the end
用剪线钳修剪克氏针 然后使用弯线钳进一步弯曲克氏针，
of the wire can be inserted into the bone the wire is rotated so that the cut
以便将线的末端插入骨头 旋转金属丝
end of the wire is lying on the posterior aspect of the electron on
，使金属丝的切割端位于电子的后部
using the bending iron and the hammer the K wire is impacted into the electron
使用弯曲铁和锤子将 K 线撞击到电子
on
上
this procedure is repeated for the second k-wire
对第二个 k 线重复此过程
a transverse electric sure has been treated using a figure of eight tension
使用八字形张力
band wire tension forces from the pull of the triceps are transformed into
带钢丝处理横向电确保
compression forces at the fracture site when the triceps is actively used
当三头肌被积极使用时，来自三头肌拉力的张力转化为骨折部位的压缩力
you
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