Foster Brian J, Bindra Randy R
Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, USA.
J Hand Surg Am. 2012 Feb;37(2):356-9. doi: 10.1016/j.jhsa.2011.11.013. Epub 2011 Dec 20.
Subcapital ulnar fractures in association with distal radius fractures in elderly patients increase instability and pose a treatment challenge. Fixation of the ulnar fracture with traditional implants is difficult due to the subcutaneous location, comminution, and osteoporosis. We describe an intrafocal pin plate that provides fixation by a locking plate on the distal ulna and intramedullary fixation within the shaft. The low profile and percutaneous technique make this device a useful alternative for treatment of subcapital ulna fractures in the elderly.
老年患者尺骨近端骨折合并桡骨远端骨折会增加不稳定性，给治疗带来挑战。由于尺骨骨折部位皮下、粉碎及骨质疏松，使用传统植入物固定尺骨骨折很困难。我们描述了一种病灶内针板，它通过尺骨远端的锁定钢板和髓内固定来实现固定。其外形低平及经皮技术使该装置成为治疗老年患者尺骨近端骨折的一种有用替代方法。
