Belkebir Mrani Mamoun, Pirlot Pierre, Ayong Serge
Orthopedics and Traumatology, Clinique Saint Pierre Ottignies, Ottignies, BEL.
Cureus. 2024 Oct 18;16(10):e71803. doi: 10.7759/cureus.71803. eCollection 2024 Oct.
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.
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。
