Williamson Jacob, Sakthivelnathan Vishaal, Seligson David
Department of Orthopaedic Surgery, The University of Louisville School of Medicine, 323 East Chestnut Street, Louisville, KY, 40202, USA.
John Sealy School of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Eur J Orthop Surg Traumatol. 2024 Aug;34(6):3395-3400. doi: 10.1007/s00590-024-03980-0. Epub 2024 Jul 5.
Post-operative non-compliance is a risk factor for fracture fixation failure and presents a challenge for revision surgery planning. We present a patient who underwent revision surgery for a proximal humerus fracture with lateral locked plating augmented with a UV light activated intramedullary implant.
A 45-year-old woman with a history of alcoholism presented with a proximal humerus fracture. After undergoing open reduction internal fixation with a lateral locking plate, the patient suffered a fall secondary to delirium tremens. New radiographs demonstrated displacement of the fracture with failure of screws. Revision surgery consisting of removal of the initial construct as well as open reduction internal fixation via lateral locking plate, augmented with a UV-activated intramedullary cement implant, was performed.
This is the first case report describing the use of a UV-activated intramedullary cement implant to augment the use of lateral locked plating for proximal humerus fractures. This case illustrates the successful management using UV-activated intramedullary cement to augment fixation, specifically in a patient with risk factors and post-operative non-compliance that predispose to fixation failure.
术后不依从是骨折内固定失败的一个风险因素，对翻修手术规划构成挑战。我们报告一例接受了肱骨近端骨折翻修手术的患者，该手术采用外侧锁定钢板并辅以紫外线激活的髓内植入物。
一名有酗酒史的45岁女性出现肱骨近端骨折。在接受外侧锁定钢板切开复位内固定术后，患者因震颤谵妄而跌倒。新的X线片显示骨折移位且螺钉松动。遂进行翻修手术，包括移除初始内固定装置以及通过外侧锁定钢板进行切开复位内固定，并辅以紫外线激活的髓内骨水泥植入物。
这是首例描述使用紫外线激活的髓内骨水泥植入物辅助外侧锁定钢板治疗肱骨近端骨折的病例报告。本病例说明了使用紫外线激活的髓内骨水泥增强固定的成功治疗方法，特别是在有导致固定失败风险因素和术后不依从的患者中。
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