Department of Orthopaedics and Sports Medicine, University of Washington, Box 359798, 908 Jefferson Street, Seattle, WA 98104, USA.
Department of Orthopaedics and Sports Medicine, University of Washington, Box 359798, 908 Jefferson Street, Seattle, WA 98104, USA.
Hand Clin. 2020 Nov;36(4):531-538. doi: 10.1016/j.hcl.2020.07.007.
The one bone forearm is a salvage procedure for treatment of painful, instability of the forearm that results from trauma, congenital deformity, tumor, infection, and failed reconstructive efforts. By creating a stable osseous bridge between the ulnohumeral and radiocarpal joints, one bone forearm addresses defects in the bony architecture of the radius and ulna, their articulations, and their associated ligamentous complexes. Global instability of the forearm is a complex clinical pathology with few other answers. Choice of technique should be dictated by adjacent bone loss. This article presents experience with creating a one bone forearm in patients using synostosis procedures.
单骨前臂是一种挽救性手术,适用于因创伤、先天畸形、肿瘤、感染和重建失败而导致的前臂疼痛和不稳定。通过在尺肱和桡腕关节之间创建一个稳定的骨性桥,单骨前臂解决了桡骨和尺骨的骨结构、它们的关节以及相关的韧带复合体的缺陷。前臂的整体不稳定是一种复杂的临床病理学,很少有其他答案。技术的选择应根据相邻骨丢失来决定。本文介绍了使用联合术式为患者创建单骨前臂的经验。