小梁金属间隔物在治疗长期尺骨骨折不愈合中的新应用。
Novel use of a trabecular metal spacer in the treatment of a long-standing ulnar fracture non-union.
作者信息
Onafowokan Oluwatobi O, Gaskin Julian S H, Middleton Rory G, Norton Mark R
机构信息
Orthopaedics Dept, Royal Cornwall Hospitals NHS Trust, Truro, UK.
出版信息
BMJ Case Rep. 2017 Dec 7;2017:bcr-2017-222592. doi: 10.1136/bcr-2017-222592.
The use of trabecular metal (TM) implants in spine and joint surgery is well documented. However, their use has yet to be reported as an alternative to either allograft or autograft in the management of fracture non-unions. We present our experience in using a TM implant for treating a patient with a long-standing ulnar fracture non-union. Excision of devitalised bone resulted in a 17 mm defect which the TM implant was used to infill. The defect was then bridged with a locking plate. At 2-year clinical and radiographic review, bony union and a pain-free return to full function was noted. In this case, the use of a TM implant avoided the morbidity associated with an iliac crest autograft.
小梁金属（TM）植入物在脊柱和关节手术中的应用已有充分记录。然而，在骨折不愈合的治疗中，其作为同种异体骨或自体骨替代物的应用尚未见报道。我们介绍了使用TM植入物治疗一名长期尺骨骨折不愈合患者的经验。切除失活骨后出现了17毫米的骨缺损，用TM植入物进行填充。然后用锁定钢板跨越该缺损。在2年的临床和影像学复查中，发现骨愈合且患者无痛恢复了全部功能。在本病例中，使用TM植入物避免了与髂嵴自体骨移植相关的并发症。
Zotero 插件