成人双侧尺桡骨骨折采用弹性髓内钉混合固定：1例报告及文献综述
Hybrid fixation with ESIN for both bone forearm fractures in adults: A case report and literature review.
作者信息
Bai Xiaodong, Liu Zhenyu, Chen Wentao, Wang Baojun
机构信息
Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
出版信息
Front Surg. 2022 Jul 26;9:949727. doi: 10.3389/fsurg.2022.949727. eCollection 2022.
OBJECTIVE
Both bone forearm fractures are common in children and rare in adults. The main surgical treatment is open reduction and internal fixation (ORIF) with plate, while the hybrid fixation of elastic-stable intramedullary nailing (ESIN) and the plate has been rarely reported before.
CASE REPORT
We report a case of a 29-year-old male patient with both bone forearm fractures. Temporarily closed reduction and plaster external fixation were performed in the emergency room, and the patient was admitted to the orthopedic trauma ward for surgery. The patient underwent open reduction and plate fixation of the ulna and closed reduction and ESIN fixation of the radius. The fractures healing was satisfactory and the internal fixation was removed 12 months postoperatively.
CONCLUSION
The hybrid fixation of ESIN and plate is an effective option for both bone forearm fractures in adults.
目的
双侧前臂骨折在儿童中常见，在成人中罕见。主要手术治疗方法是钢板切开复位内固定（ORIF），而弹性稳定髓内钉（ESIN）与钢板的混合固定此前鲜有报道。
病例报告
我们报告一例29岁男性双侧前臂骨折患者。在急诊室进行了临时闭合复位及石膏外固定，随后患者被收入骨科创伤病房接受手术。患者接受了尺骨切开复位钢板固定及桡骨闭合复位ESIN固定。骨折愈合情况良好，术后12个月取出内固定。
结论
ESIN与钢板的混合固定是成人双侧前臂骨折的一种有效治疗选择。
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