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.
JBJS Case Connect. 2020 Jan-Mar;10(1):e0273. doi: 10.2106/JBJS.CC.19.00273.
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.
Temporary ulnohumeral spanning plate fixation is a reliable method for periarticular reconstruction in the setting of massive distal humerus bone loss.
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。
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。