创伤性截肢后使用铰链式外固定架和肌肉转移进行肘屈重建：病例报告。
Elbow Flexion Reconstruction after Traumatic Amputation Using Hinged External Fixator and Muscle Transfer: A Case Report.
机构信息
Department of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Orthopedic Surgery, Aizawa Hospital, Matsumoto, Japan.
出版信息
JBJS Case Connect. 2024 Sep 20;14(3). doi: e24.00189. eCollection 2024 Jul 1.
CASE
A 40-year-old man sustained a traumatic elbow disarticulation without any fracture, accompanied by severe damage of the biceps and brachialis. After replantation, passive elbow motion was used with a hinged external fixator to facilitate elbow joint reduction and mobility. Eight months after the injury, a functional latissimus dorsi transfer for elbow flexion restoration was performed. Ten years postoperatively, he achieved antigravity elbow flexion and 120° of flexion and -15° extension of the elbow.
CONCLUSION
This reconstruction technique was useful for reconstructing elbow flexion after traumatic elbow disarticulation.
病例
一位 40 岁男性遭受外伤性肘离断，无骨折，但肱二头肌和肱肌严重受损。再植后，使用铰链式外固定器进行被动肘部运动，以促进肘关节复位和活动。受伤后 8 个月，进行了功能性背阔肌转移以恢复肘部弯曲功能。术后 10 年，他实现了对抗重力的肘部弯曲，肘部弯曲度为 120°，伸展度为-15°。
结论
这种重建技术对于外伤性肘离断后重建肘部弯曲功能是有用的。
Zotero 插件