Kamiya Ryo, Onuma Kenji, Sukegawa Koji, Matsuura Terumasa, Takaso Masashi
Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, JPN.
Research and Development Center for Medical Education, Kitasato University School of Medicine, Sagamihara, JPN.
Cureus. 2025 Aug 13;17(8):e90041. doi: 10.7759/cureus.90041. eCollection 2025 Aug.
An Essex-Lopresti fracture-dislocation with transolecranon fracture-dislocation is a rare injury. This report describes surgical repair, including open reduction and internal fixation and repair of the interosseous membrane. A 66-year-old man fell from a height while rock climbing. He was diagnosed with a fracture-dislocation of his left elbow. He initially underwent an external fixation of the elbow joint. Open reduction and internal fixation of the olecranon and artificial radial head replacement were performed two weeks after the injury. Four months after the injury, the third surgery involved an ulnar shortening osteotomy, and an allogeneic Achilles tendon graft for interosseous membrane injury was performed. His Quick DASH (disabilities of the arm, shoulder, and hand) score was 2.27 points two years after the injury. This rare case of complicated upper arm injury was treated with multiple surgeries. We consider that the allogeneic Achilles tendon is one option as a material for interosseous membrane reconstruction.
伴有经鹰嘴骨折脱位的埃塞克斯-洛普雷斯蒂骨折脱位是一种罕见的损伤。本报告描述了手术修复，包括切开复位内固定和骨间膜修复。一名66岁男性在攀岩时从高处坠落。他被诊断为左肘骨折脱位。他最初接受了肘关节外固定。受伤两周后进行了鹰嘴切开复位内固定和人工桡骨头置换。受伤四个月后，第三次手术包括尺骨短缩截骨术，并对骨间膜损伤进行了同种异体跟腱移植。受伤两年后，他的上肢、肩部和手部功能障碍评分（Quick DASH）为2.27分。这例罕见的复杂上臂损伤通过多次手术进行了治疗。我们认为同种异体跟腱是骨间膜重建材料的一种选择。
