应用环形外固定器辅助的诱导膜技术治疗严重上肢损伤的腕关节融合：1例报告
Induced Membrane Wrist Fusion with Ring External Fixator Assistance in a Mangled Upper Extremity: A Case Report.
作者信息
Shin Caleb, Drawbert Hans, Riehl John, Badylak John
机构信息
Department of Orthopedic Surgery, Medical City Denton, Denton, Texas, USA.
Department of Orthopedic Surgery, Texas Bone and Joint, Fort Worth, Texas, USA.
出版信息
J Orthop Case Rep. 2025 May;15(5):171-176. doi: 10.13107/jocr.2025.v15.i05.5600.
INTRODUCTION
In the mangled forearm injury, a decision between limb salvage or amputation must be made.
CASE REPORT
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.
CONCLUSION
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.
引言
在严重的前臂损伤中，必须做出保肢还是截肢的决定。
病例报告
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。
结论
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。
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