Kong Yee Sean, Muhammad Safian Muhammad Shukri
Orthopaedics and Traumatology, Hospital Canselor Tuanku Muhriz, Kuala Lumpur, MYS.
Orthopaedic Surgery, Hospital Serdang, Selangor, MYS.
Cureus. 2024 Aug 21;16(8):e67358. doi: 10.7759/cureus.67358. eCollection 2024 Aug.
Bone grafts have been important treatment tools in reconstructive orthopaedic surgery for years for traumatic osseous defects, defects resulting from resection of bone tumours, arthrodesis, and osteotomy procedures. We used an autologous olecranon bone graft to fill the bone gap due to fracture comminution in a patient with right clavicle implant failure. A 21-year-old male initially underwent primary fixation with a clavicle locking plate for a comminuted middle-third right clavicle fracture. At the follow-up visit after four weeks, the patient complained of pain over the right shoulder. Repeated radiographs revealed no evidence of union with implant failure. Revision surgery was done, and a cortical-cancellous bone graft was harvested from the ipsilateral olecranon to fill the osseous defect over the clavicle fracture site.
多年来,骨移植一直是重建骨科手术中治疗创伤性骨缺损、骨肿瘤切除所致缺损、关节融合术和截骨手术的重要治疗工具。我们使用自体鹰嘴骨移植来填补一名右锁骨植入失败患者因骨折粉碎而造成的骨间隙。一名21岁男性最初因右锁骨中1/3粉碎性骨折接受了锁骨锁定钢板内固定术。四周后的随访中,患者主诉右肩部疼痛。反复X线检查显示无骨愈合迹象且植入物失败。遂进行翻修手术,从同侧鹰嘴获取皮质松质骨移植以填补锁骨骨折部位的骨缺损。