Shin Caleb, Drawbert Hans, Riehl John, Badylak John
Department of Orthopedic Surgery, Medical City Denton, Denton, Texas, USA.
Department of Orthopedic Surgery, Texas Bone and Joint, Fort Worth, Texas, USA.
J Orthop Case Rep. 2025 May;15(5):171-176. doi: 10.13107/jocr.2025.v15.i05.5600.
In the mangled forearm injury, a decision between limb salvage or amputation must be made.
This case report highlights a 37-year-old patient that sustained a mangled wrist injury with a substantial amount of bone loss to the distal radius after an All-Terrain Vehicle (ATV) rollover accident. The decision for limb salvage was made and he was treated with the induced membrane technique with wrist arthrodesis using a ring external fixator with a satisfactory outcome.
This case report demonstrates the successful use of the induced membrane technique with a ring external fixator as a limb salvage technique to achieve wrist fusion in a mangled extremity with segmental bone loss.
在严重的前臂损伤中，必须做出保肢还是截肢的决定。
本病例报告重点介绍了一名37岁患者，在全地形车（ATV）翻车事故后，手腕严重受伤，桡骨远端大量骨质缺损。决定进行保肢治疗，采用诱导膜技术并使用环形外固定器进行腕关节融合术，治疗效果满意。
本病例报告证明了诱导膜技术联合环形外固定器作为一种保肢技术，在伴有节段性骨质缺损的严重肢体损伤中成功实现腕关节融合。
