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如何处理不可重建的桡骨远端骨折。

How to Deal With an Unreconstructable Distal Radius Fracture.

作者信息

Assiotis Angelos, Rumian Adam, Uppal Harpal S, Yeoh Clarence

机构信息

Trauma and Orthopaedics, Lister Hospital, Stevenage, GBR.

出版信息

Cureus. 2024 Jan 18;16(1):e52487. doi: 10.7759/cureus.52487. eCollection 2024 Jan.

Abstract

The most prevalent long bone fracture is that of the distal radius, and it affects all age groups. These fractures can present after low-energy or high-energy trauma, and their configuration often varies depending on the mechanism of injury. Their management can be operative or non-operative, and the scientific literature is abundant in studies comparing these two treatment modalities. There is also a healthy scientific debate as to the indications that should guide surgery for these injuries. A male patient sustained a high-energy fracture to his distal radius and presented to our unit soon after the injury. His fracture presented significant surgical challenges due to its complexity. It was stabilised surgically, and the patient recovered good function after rehabilitation. This case aims to demonstrate a surgical treatment protocol and the relevant surgical considerations when dealing with significant injuries, such as the one presented in this paper, where traditional fixation techniques may not yield a satisfactory outcome.

摘要

最常见的长骨骨折是桡骨远端骨折,它影响所有年龄组。这些骨折可在低能量或高能量创伤后出现,其形态通常因损伤机制而异。其治疗方法可以是手术治疗或非手术治疗,科学文献中有大量比较这两种治疗方式的研究。对于指导这些损伤手术治疗的适应症也存在健康的科学争论。一名男性患者桡骨远端遭受高能量骨折,受伤后不久就诊于我们科室。由于其复杂性,他的骨折带来了重大的手术挑战。通过手术使其稳定,患者康复后功能恢复良好。本病例旨在展示一种手术治疗方案以及处理重大损伤时的相关手术注意事项,比如本文所呈现的这种损伤,传统固定技术可能无法取得满意的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fddd/10874134/37a8569ccc69/cureus-0016-00000052487-i01.jpg

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