Raval Harsh, Panse J B, Amin Prakash, Pandit Jyotindra
Department of Orthopaedics, Inlaks & Budhrani Hospital, Pune, Maharashtra, India.
Department of Orthopaedics, HarikrupaOrthopaedic Hospital, Ellisbridge, Ahmedabad, Gujarat, India.
J Orthop Case Rep. 2015 Jul-Sep;5(3):22-4. doi: 10.13107/jocr.2250-0685.298.
Diaphyseal fractures of both bones of the forearm are commonly encountered in clinical practice. Segmental radius shaft fractures are, however, less commonly seen. We hereby report two cases of segmental complex radius fracture with mid-shaft ulna fracture. Such type of cases are reported previously in children but rarely in adults.
In case-1, comminuted radius shaft fracture was fixed with square nails and ulna was fixed with Recon plate. In case-2, plating was done for radius mid-shaft, K-wiring for distal radius, and ulna was stabilized with a square nail. Details of both cases aredescribed and alternative management options are discussed.
To the best of our knowledge, a segmental fracture of the radius associated with ipsilateral mid-shaft fracture of the ulna in an adult has been rarely reported in the literature to date. Optimal management of such fracture configuration has not been outlined in the literature. Prompt surgical management of such a complex fracture resulted in a rapid, full and satisfactory functional recovery for our patient.
临床实践中常遇到前臂双骨干骨折。然而，桡骨干节段性骨折较少见。我们在此报告两例桡骨节段性复杂骨折合并尺骨中段骨折的病例。此前此类病例多见于儿童，成人中则很少见。
病例1中，粉碎性桡骨干骨折用方形髓内钉固定，尺骨用Recon钢板固定。病例2中，桡骨中段采用钢板固定，桡骨远端采用克氏针固定，尺骨用方形髓内钉稳定。描述了两例病例的详细情况并讨论了其他治疗方案。
据我们所知，成人桡骨节段性骨折合并同侧尺骨中段骨折的情况在文献中迄今鲜有报道。文献中尚未概述此类骨折形态的最佳治疗方法。对这种复杂骨折进行及时的手术治疗，使我们的患者实现了快速、完全且令人满意的功能恢复。
