张力近端肱骨接骨板在距下关节融合中的超适应证应用：病例报告。
An Off-Label Use of a Tensioned Proximal Humerus Plate for Tibiotalar Fusion: A Case Report.
机构信息
Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky.
出版信息
JBJS Case Connect. 2022 Nov 18;12(4). doi: e22.00576. eCollection 2022 Oct 1.
CASE
A 70-year-old man presented with a left pilon fracture after a 10-foot fall from a ladder. The severe amount of comminution, joint destruction, and impaction from this injury eventually resulted in a tibiotalar fusion. Owing to multiple tibiotalar fusion plates not being long enough to span the extent of the fracture, a tensioned proximal humerus plate was used as an alternative.
CONCLUSION
We do not endorse the off-label use of a tensioned proximal humerus plate for all tibiotalar fusions; however, we do believe that this is a useful technique in certain situations with large zones of distal tibial comminution.
病例
一位 70 岁男性从梯子上坠落 10 英尺后，出现左侧 Pilon 骨折。该损伤严重粉碎、关节破坏和嵌插，最终导致胫距融合。由于多个胫距融合板不够长，无法跨越骨折范围，因此使用了张力性肱骨头近端板作为替代物。
结论
我们不支持将张力性肱骨头近端板用于所有胫距融合；然而，我们确实认为在某些情况下，当存在大范围的胫骨远端粉碎时，这是一种有用的技术。
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