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老年患者桡骨远端骨折伴掌侧钢板弯曲再骨折的独特表现

Unique Presentation of Refracture of the Distal Radius With Volar Plate Bending in an Elderly Patient.

作者信息

Belkebir Mrani Mamoun, Pirlot Pierre, Ayong Serge

机构信息

Orthopedics and Traumatology, Clinique Saint Pierre Ottignies, Ottignies, BEL.

出版信息

Cureus. 2024 Oct 18;16(10):e71803. doi: 10.7759/cureus.71803. eCollection 2024 Oct.

Abstract

This case report presents the unique case of an 80-year-old woman who sustained a refracture of the distal radius following a fall, resulting in a rare instance of volar plate bending. The patient had undergone osteosynthesis with a titanium volar plate 2.5 years earlier, which had fully healed. Radiographs showed a 50° dorsal angulation of the previously implanted plate, necessitating surgical revision. A modified Henry approach was used to remove the bent plate and implant a new one. While literature documents two prior cases of volar plate bending, both involved older plate designs. This report is the first to describe bending in a modern titanium volar plate, making it a rare and significant contribution to current knowledge on implant failure.

摘要

本病例报告介绍了一名80岁女性的独特病例,该患者跌倒后桡骨远端再次骨折,导致掌侧板弯曲这一罕见情况。患者在2.5年前接受了钛掌侧板接骨术,骨折已完全愈合。X线片显示先前植入的钢板有50°的背侧成角,需要进行手术翻修。采用改良的亨利入路取出弯曲的钢板并植入新的钢板。虽然文献记载了两例先前的掌侧板弯曲病例,但均涉及较旧的钢板设计。本报告首次描述了现代钛掌侧板的弯曲情况,使其成为对当前植入物失败知识的罕见而重要的贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f0/11489008/d8f1a6049ab4/cureus-0016-00000071803-i01.jpg

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