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治疗伴有多段肱骨干骨折和桡骨颈骨折的漂浮上臂的手术挑战与治疗结果

Surgical Challenges and Outcomes in Treating a Floating Upper Arm With Multiple Humerus Fractures and Radial Neck Fractures.

作者信息

Sachinis Nikolaos P, Mitsios Nikolaos, Baxevanou Maria, Koukos Christos, Givissis Alexandros, Givissis Panagiotis

机构信息

First Orthopaedic Department, "Georgios Papanikolaou" Hospital, Aristotle University of Thessaloniki, Thessaloniki, GRC.

Sports Trauma and Pain Institute, "Georgios Papanikolaou" Hospital, Aristotle University of Thessaloniki, Thessaloniki, GRC.

出版信息

Cureus. 2024 Aug 8;16(8):e66468. doi: 10.7759/cureus.66468. eCollection 2024 Aug.

DOI:10.7759/cureus.66468
PMID:39246982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380566/
Abstract

Complex humerus fractures associated with high-energy trauma present significant surgical challenges due to their impact on limb functionality and structural integrity. This case report details the treatment of a floating upper arm injury, characterized by multiple humerus fractures and a radial neck fracture, in a 50-year-old male following a vehicular accident. The patient exhibited fractures at the proximal, mid-shaft, and distal segments of the humerus, necessitating an integrated surgical approach to effectively manage these injuries. Dual surgical approaches and perpendicular plating were employed to address the multifaceted nature of the fractures. The patient achieved satisfactory functional recovery, regaining a significant range of motion, which highlights the efficacy of the chosen surgical strategy. This case contributes to the existing literature by illustrating the benefits of specific surgical techniques in managing complex humerus fractures, emphasizing the necessity for meticulous planning and execution to optimize patient outcomes.

摘要

与高能创伤相关的复杂肱骨骨折因其对肢体功能和结构完整性的影响而带来重大手术挑战。本病例报告详细介绍了一名50岁男性在车祸后发生的漂浮上臂损伤的治疗情况，其特征为多处肱骨骨折和桡骨颈骨折。患者肱骨近端、中段和远端均出现骨折，需要采用综合手术方法来有效处理这些损伤。采用了双重手术方法和垂直钢板固定来应对骨折的多方面特性。患者获得了满意的功能恢复，恢复了显著的活动范围，这突出了所选手术策略的有效性。本病例通过说明特定手术技术在处理复杂肱骨骨折中的益处，为现有文献做出了贡献，强调了精心规划和执行以优化患者预后的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/a8cf68978cd7/cureus-0016-00000066468-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/28023bf4a1ef/cureus-0016-00000066468-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/4ae9e945d52e/cureus-0016-00000066468-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/a70598c832b5/cureus-0016-00000066468-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/a9041a107a22/cureus-0016-00000066468-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/b81a03213987/cureus-0016-00000066468-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/a8cf68978cd7/cureus-0016-00000066468-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/28023bf4a1ef/cureus-0016-00000066468-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/4ae9e945d52e/cureus-0016-00000066468-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/a70598c832b5/cureus-0016-00000066468-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/a9041a107a22/cureus-0016-00000066468-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/b81a03213987/cureus-0016-00000066468-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aab/11380566/a8cf68978cd7/cureus-0016-00000066468-i06.jpg

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本文引用的文献

1
A comparison between perpendicular and parallel plating methods for distal humerus fractures: A meta-analysis of randomized controlled trials.肱骨远端骨折垂直与平行钢板固定方法的比较：一项随机对照试验的荟萃分析。
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Clinico-radiological Outcome Analysis of Parallel Plating with Perpendicular Plating in Distal Humeral Intra-articular Fractures: Prospective Randomised Study.
肱骨远端关节内骨折平行钢板与垂直钢板固定的临床影像学结果分析：前瞻性随机研究
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Analysis of complications after a floating elbow injury.漂浮肘损伤后并发症的分析
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