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使用BB Joshi外固定器治疗Ⅲ型开放性肱骨远端关节内骨折：病例报告及疗效回顾

Management of Grade Three Open Distal Humerus Intra-articular Fracture Using the BB Joshi External Fixator: A Case Study and Review of Outcomes.

作者信息

Phalak Mukesh O, Gupta Archit, Solunke Swaroop, Nair Abhishek

机构信息

Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Aug 8;16(8):e66460. doi: 10.7759/cureus.66460. eCollection 2024 Aug.

DOI:10.7759/cureus.66460
PMID:39246870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380531/
Abstract

Distal humeral intra-articular fractures often result in functional impairment if treated conservatively. These fractures are particularly challenging due to osteoporosis and severe comminution. A 32-year-old female with a grade three open distal humerus intra-articular fracture presented with a 5 cm x 5 cm open wound on her right elbow. The patient underwent open reduction and internal fixation (ORIF) using the BB Joshi external fixator and a local flap for skin coverage, achieving stable fixation and early mobilization. The patient regained a near-normal range of movements and adequate skin coverage of the wound at follow-up. Compared to traditional ORIF, it showed lower infection rates and comparable union rates, leading to better functional outcomes when compared with the studies reported earlier. The BB Joshi external fixator effectively treats grade three open distal humerus intra-articular fractures, minimizing complications and promoting functional recovery.

摘要

肱骨远端关节内骨折若采用保守治疗，常导致功能障碍。由于骨质疏松和严重粉碎，这些骨折极具挑战性。一名32岁女性，患有三级开放性肱骨远端关节内骨折，右肘有一个5厘米×5厘米的开放性伤口。该患者接受了切开复位内固定术（ORIF），使用BB Joshi外固定器并采用局部皮瓣覆盖皮肤，实现了稳定固定和早期活动。随访时，患者的活动范围接近正常，伤口皮肤覆盖良好。与传统的切开复位内固定术相比，其感染率较低，愈合率相当，与早期报道的研究相比，功能结果更佳。BB Joshi外固定器能有效治疗三级开放性肱骨远端关节内骨折，减少并发症并促进功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/210b897b3724/cureus-0016-00000066460-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/18b4090e5442/cureus-0016-00000066460-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/430aacd4649c/cureus-0016-00000066460-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/33e241b70ae8/cureus-0016-00000066460-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/1ee3145214ce/cureus-0016-00000066460-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/067b68fd8aed/cureus-0016-00000066460-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/210b897b3724/cureus-0016-00000066460-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/18b4090e5442/cureus-0016-00000066460-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/430aacd4649c/cureus-0016-00000066460-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/33e241b70ae8/cureus-0016-00000066460-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/1ee3145214ce/cureus-0016-00000066460-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/067b68fd8aed/cureus-0016-00000066460-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0285/11380531/210b897b3724/cureus-0016-00000066460-i06.jpg

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本文引用的文献

1
External fixation versus open reduction and internal fixation in the treatment of Complex Tibial Plateau Fractures: A systematic review and meta-analysis.外固定与切开复位内固定治疗复杂胫骨平台骨折的系统评价和 Meta 分析。
Acta Orthop Traumatol Turc. 2021 Sep;55(5):444-456. doi: 10.5152/j.aott.2021.20350.
2
Current treatment strategies for bicolumnar distal humerus fractures.双柱型肱骨远端骨折的当前治疗策略。
J Am Acad Orthop Surg. 2010 Jan;18(1):20-30. doi: 10.5435/00124635-201001000-00004.
3
Complex distal humeral fractures: internal fixation with a principle-based parallel-plate technique.
复杂肱骨远端骨折：基于原则的平行钢板技术内固定
J Bone Joint Surg Am. 2007 May;89(5):961-9. doi: 10.2106/JBJS.E.01311.
4
Surgical exposures of the humerus.肱骨的手术显露
J Am Acad Orthop Surg. 2006 Dec;14(13):754-65. doi: 10.5435/00124635-200612000-00007.
5
Revision surgery for nonunion after early failure of fixation of fractures of the distal humerus.
J Bone Joint Surg Br. 2005 Aug;87(8):1107-10. doi: 10.1302/0301-620X.87B8.15610.
6
Use of Joshi External Stabilizing System in postburn contractures of the hand and wrist: a 20-year experience.乔希外部稳定系统在手部和腕部烧伤后挛缩治疗中的应用：20年经验
J Burn Care Rehabil. 2004 Sep-Oct;25(5):416-20. doi: 10.1097/01.bcr.0000138297.68047.29.
7
A comparison of open reduction and internal fixation and primary total elbow arthroplasty in the treatment of intraarticular distal humerus fractures in women older than age 65.65岁以上女性关节内肱骨远端骨折治疗中切开复位内固定与初次全肘关节置换术的比较
J Orthop Trauma. 2003 Aug;17(7):473-80. doi: 10.1097/00005131-200308000-00001.
8
Difficult elbow fractures: pearls and pitfalls.复杂肘关节骨折：要点与误区
Instr Course Lect. 2003;52:113-34.
9
Fracture-dislocation of the elbow.肘关节骨折脱位
Hand Clin. 2002 Feb;18(1):55-63. doi: 10.1016/s0749-0712(02)00004-5.
10
Management of the smashed distal humerus.粉碎性肱骨远端的处理
Orthop Clin North Am. 2002 Jan;33(1):19-33, vii. doi: 10.1016/s0030-5898(03)00070-1.