Wu C D
Department of Orthopaedic Surgery, Taiwan Provincial Tainan General Hospital, Tainan.
J Trauma. 1995 Nov;39(5):1003-5. doi: 10.1097/00005373-199511000-00033.
This report describes a case of right radial-ulnar fracture with bone loss, and left olecranon fracture with radial nerve palsy resulting from a small caliber, low-velocity gunshot. Initial wound debridement and extraskeletal fixation were done to fix the radial-ulnar fracture. Wound debridement, bullet removal, and tension band wiring were performed on the left forearm. Definitive operations with rigid plate fixation and full segmental iliac bone grafting of the right radial-ulnar fracture were done 2 months later. Left radial nerve palsy resolved 9 months after the index injury. The fractures were fully united and both forearm functions were in normal range 3 years postoperatively. Implications of this case and a review of the literature are presented.
本报告描述了一例因小口径、低速枪伤导致的右侧桡尺骨骨折伴骨质缺损，以及左侧鹰嘴骨折伴桡神经麻痹的病例。对桡尺骨骨折进行了初期伤口清创和外固定。对左侧前臂进行了伤口清创、取出子弹和张力带钢丝固定术。2个月后对右侧桡尺骨骨折进行了钢板内固定和全段髂骨移植的确定性手术。左侧桡神经麻痹在伤后9个月恢复。术后3年骨折完全愈合，双前臂功能均在正常范围内。本文介绍了该病例的意义及文献综述。
