Saka Natsumi, Sasaki Gen, Watanabe Yoshinobu, Kawano Hirotaka
Department of Orthopaedics, Teikyo University School of Medicine, Tokyo, Japan.
Trauma Case Rep. 2021 Mar 1;32:100448. doi: 10.1016/j.tcr.2021.100448. eCollection 2021 Apr.
Several treatment methods for nonunion of humeral fracture have been reported with satisfactory results. However, treatment of a long-standing nonunion of the humerus is more challenging, as it may be complicated by broken implants and bone defects. Little is known about treatment strategies for long-standing humeral nonunion with bone defects, especially in the metaphyseal area. We report a case of long-standing humeral shaft nonunion complicated by a bone defect and deformity, treated with double locking plates and an iliac bone autograft.
已有多种治疗肱骨干骨折不愈合的方法被报道，且效果令人满意。然而，治疗长期存在的肱骨干骨折不愈合更具挑战性，因为它可能伴有植入物断裂和骨缺损等并发症。对于伴有骨缺损的长期肱骨干骨折不愈合的治疗策略，尤其是在干骺端区域，人们知之甚少。我们报告一例长期存在的肱骨干骨折不愈合合并骨缺损及畸形的病例，采用双锁定钢板及髂骨自体骨移植进行治疗。
