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[伴有被忽视的肘关节脱位的前臂假关节缺损]

[Defective forearm pseudoarthrosis with a neglected elbow dislocation].

作者信息

Kesmezacar Hayrettin, Oğüt Tahir, Yücel Istemi, Babacan Muharrem, Ağritmiş Ayşin

机构信息

IU Cerahpaşsa Tip Fakultesi, Ortopedi ve Travmatoloji Anabilim Dali, Istanbul.

出版信息

Ulus Travma Acil Cerrahi Derg. 2003 Jul;9(3):218-21.

PMID:12923701
Abstract

Neglected elbow dislocations, rarely seen in the developed countries, are very attractive due to the difficulties of treatment and diversity of prognosis. A 32 year-old woman was admitted with chronic elbow dislocation and defective forearm pseudoarthrosis due to an accident four months prior to admission. Open reduction and distraction arthroplasty using hinged external fixator for the elbow, open reduction and internal fixation with plate-screws with fibula allograft for the forearm was performed. The elbow was stable and had 110 degrees and -15 degrees of active flexion and extension respectively on the ninth month of follow-up. Both radius and ulna were united.

摘要

被忽视的肘关节脱位在发达国家很少见,因其治疗困难和预后多样而备受关注。一名32岁女性因入院前四个月的一次事故导致慢性肘关节脱位和前臂假关节形成而入院。对肘关节采用带铰链外固定架进行切开复位和撑开关节成形术,对前臂采用钢板螺钉结合腓骨移植进行切开复位和内固定。随访第九个月时,肘关节稳定,主动屈伸分别为110度和 -15度。桡骨和尺骨均已愈合。

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