Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 2011 Jan;52(1):204-6. doi: 10.3349/ymj.2011.52.1.204.
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.
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。