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尺肱桥接钢板治疗肱骨远端大块骨缺损:病例报告。

Ulnohumeral Bridge Plating for Massive Distal Humerus Bone Loss: A Case Report.

机构信息

Department of Orthopaedics, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.

Clinical Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

出版信息

JBJS Case Connect. 2020 Jan-Mar;10(1):e0273. doi: 10.2106/JBJS.CC.19.00273.

Abstract

CASE

Massive bone loss around the elbow is a challenging clinical condition. Short periarticular osseous segments present few reconstructive options in the setting of distal humerus bone loss. We report the case of a 20-year-old man who sustained an open, intra-articular distal humerus fracture with a massive metaphyseal defect of 15 cm after a motorcycle accident. The defect was reconstructed using an induced membrane technique with temporary ulnohumeral bridge plate stabilization.

CONCLUSION

Temporary ulnohumeral spanning plate fixation is a reliable method for periarticular reconstruction in the setting of massive distal humerus bone loss.

摘要

病例

肘部周围的大量骨质流失是一种具有挑战性的临床情况。在尺骨鹰嘴骨缺损的情况下,短的关节周围骨段几乎没有重建选择。我们报告了一例 20 岁男性的病例,他在摩托车事故后发生开放性、关节内尺骨鹰嘴骨折,伴有 15 厘米的巨大干骺端缺损。该缺损采用诱导膜技术和临时尺骨-肱骨桥接板固定进行重建。

结论

在尺骨鹰嘴骨大量缺损的情况下,临时尺骨-肱骨跨接板固定是一种可靠的关节周围重建方法。

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