Stramazzo Leonardo, Cioffi Alessio, Rovere Giuseppe, Vigni Giulio Edoardo, Galvano Nicolò, Sallì Marcello, D'Arienzo Antonio, Camarda Lawrence, D'Arienzo Michele
Department of Orthopaedic Surgery (DICHIRONS), University of Palermo, Palermo, Italy.
Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Trauma Case Rep. 2020 Dec 9;31:100387. doi: 10.1016/j.tcr.2020.100387. eCollection 2021 Feb.
A peri-implant fracture near the volar plate of distal radius represent a very rare injury. The main factor of this lesion is high energy trauma on the wrist. We report a case of a 61-year-old woman with a peri-implant fracture located just proximally to the plate and a fracture of the ulnar head that occurred after a simple fall. The patient was surgically treated by plate and screws removal. The fracture was fixed using a longer volar plate for the radial fracture and a plate for the head ulnar fracture. Different factors such as osteoporosis, BMI and screw position could influence the fracture pattern. However, considering growing use of plates for distal radius fracture fixation, the frequency of these kind of fracture will probably increase.
桡骨远端掌侧板附近的种植体周围骨折是一种非常罕见的损伤。这种损伤的主要因素是手腕受到高能量创伤。我们报告一例61岁女性病例，其种植体周围骨折位于钢板近端，尺骨头骨折发生在一次简单跌倒后。患者接受了钢板和螺钉取出的手术治疗。桡骨骨折使用更长的掌侧钢板固定，尺骨头骨折使用一块钢板固定。骨质疏松、体重指数和螺钉位置等不同因素可能会影响骨折类型。然而，考虑到用于桡骨远端骨折固定的钢板使用越来越多，这类骨折的发生率可能会增加。
