成功再植入挤出的尺骨干段：病例报告及文献复习。
Successful Reimplantation of Extruded Ulnar Diaphyseal Segment: A Case Report and Review of Literature.
机构信息
Department of Orthopaedic Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, Michigan.
Department of Orthopaedic Surgery, Central Michigan College of Medicine, Mount Pleasant, Michigan.
出版信息
JBJS Case Connect. 2024 Aug 22;14(3). doi: e24.00007. eCollection 2024 Jul 1.
CASE
A 32-year-old man presented with a type II open both-bone forearm fracture and segmental bone loss because of complete extrusion of a diaphyseal fragment (3 cm) of ulna. The patient presented to our level 1 trauma center after a motor vehicle collision. The extruded segment underwent sterilization and immediate reimplantation with internal fixation approximately 6 hours after arrival. Our patient achieved union by 7-month follow-up, demonstrated excellent functional outcomes, and was free from infection at 1-year follow-up.
CONCLUSION
In select cases, successful reimplantation can be achieved by meticulous debridement, sterilization, and immediate reimplantation with internal fixation.
病例
一名 32 岁男性因尺骨干完全挤出（3cm）骨段而发生 II 型开放性双骨折伴节段性骨丢失。该患者因机动车事故就诊于我们的 1 级创伤中心。到达后约 6 小时，挤出段经消毒后立即行内固定再植入。患者于 7 个月随访时达到愈合，功能恢复良好，1 年随访时无感染。
结论
在选择的病例中，通过仔细清创、消毒和立即行内固定再植入可以实现成功再植入。
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