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创伤后桡尺骨融合

Post-traumatic radioulnar synostosis.

作者信息

Breit R

出版信息

Clin Orthop Relat Res. 1983 Apr(174):149-52.

PMID:6403269
Abstract

There is a paucity of data about post-traumatic radioulnar synostosis, an unusual but serious complication of forearm fractures. Treatment methods have included excision of the synostosis with interposition of soft tissue or synthetic material, excision of the proximal radius, insertion of a screw to distract the radius from the ulna, and a rotational osteotomy of the radius to improve function. In the case of a 28-year-old woman, the treatment was excision of the synostosis, obliteration of the dead space with muscle, prevention of hematoma formation, and early mobilization. The result was an active range of motion of 80 degrees pronation and 60 degrees supination.

摘要

关于创伤后桡尺骨融合这一前臂骨折罕见但严重的并发症,相关数据较少。治疗方法包括切除融合处并植入软组织或合成材料、切除桡骨近端、插入螺钉使桡骨与尺骨分离,以及进行桡骨旋转截骨术以改善功能。对于一名28岁女性患者,治疗方法为切除融合处、用肌肉填充死腔、预防血肿形成以及早期活动。结果是旋前活动范围为80度,旋后活动范围为60度。

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引用本文的文献

1
Posttraumatic Proximal Radioulnar Synostosis after Closed Reduction for a Radial Neck and Olecranon Fracture.桡骨颈和鹰嘴骨折闭合复位后创伤后近端桡尺关节融合
Case Rep Orthop. 2018 Feb 19;2018:5131639. doi: 10.1155/2018/5131639. eCollection 2018.
2
Proximal radio-ulnar synostosis treated by interpositional silicone arthroplasty. A case report.硅胶植入关节成形术治疗近端桡尺关节融合。病例报告。
Int Orthop. 1995;19(4):242-4. doi: 10.1007/BF00185231.
3
Post-traumatic radioulnar synostosis after forearm fracture osteosynthesis.前臂骨折切开复位内固定术后创伤性桡尺骨融合
Arch Orthop Trauma Surg. 1991;110(3):142-5. doi: 10.1007/BF00395796.