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儿童尺骨假关节合并桡骨头脱位的单骨前臂手术:20 年随访 1 例

One-bone forearm procedure for acquired pseudoarthrosis of the ulna combined with radial head dislocation in a child: a case with 20 years follow-up.

机构信息

Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Yonsei Med J. 2011 Jan;52(1):204-6. doi: 10.3349/ymj.2011.52.1.204.

Abstract

This report describes a 6 year-old boy who was treated with one-bone forearm procedure for acquired pseudoarthrosis of the ulna combined with radial head dislocation after radical ulna debridement for osteomyelitis. At more than 20 years of follow-up, the patient had a nearly full range of elbow movements with a few additional surgical procedures. Pronation and supination was restricted by 45°, but the patient had near-normal elbow and hand functions without the restriction of any daily living activity. This case shows that one-bone forearm formation is a reasonable option for forearm stability in longstanding pseudoarthrosis of the ulna with radial head dislocation in a child.

摘要

本报告描述了一例 6 岁男孩,因骨髓炎行尺骨清创术,后发生尺骨假关节合并桡骨头脱位,采用单骨前臂成形术治疗。随访 20 多年后,患者肘部活动度接近正常,仅需进行少数几次额外的手术。旋前和旋后受限 45°,但肘部和手部功能接近正常,日常生活不受限制。该病例表明,对于儿童尺骨假关节合并桡骨头脱位,单骨前臂成形术是一种稳定前臂的合理选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1009/3017701/c5997ba01047/ymj-52-204-g001.jpg

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