PDF(Pubmed)
Abstract：
BACKGROUND: Choosing the appropriate treatment approach for a multifocal comminuted open fracture of humerus with severe soft tissue defect is a challenging issue, which could be interesting for every orthopedic surgeon especially for those working in the trauma centers.
METHODS: This study described an innovative approach using titanium elastic nailing to treat a multifocal comminuted open fracture of humerus with severe soft tissue defect. In this study, we report a 40-year-old Persian female patient in whom the treatment achieved complete fracture union and skin graft healing by elastic medullary nailing, vacuum dressing, and skin grafting.
CONCLUSIONS: Elastic medullary nailing is a viable option for reconstruction of simultaneous comminuted fracture and soft tissue defect.
METHODS: This study described an innovative approach using titanium elastic nailing to treat a multifocal comminuted open fracture of humerus with severe soft tissue defect. In this study, we report a 40-year-old Persian female patient in whom the treatment achieved complete fracture union and skin graft healing by elastic medullary nailing, vacuum dressing, and skin grafting.
CONCLUSIONS: Elastic medullary nailing is a viable option for reconstruction of simultaneous comminuted fracture and soft tissue defect.
摘要：
背景：对于合并严重软组织缺损的肱骨多灶性粉碎性开放性骨折，选择合适的治疗方法是一个具有挑战性的问题，这对每个整形外科医生来说都很有趣，特别是对于那些在创伤中心工作的人来说。
方法：这项研究描述了一种使用钛弹性钉治疗肱骨多灶性粉碎性开放性骨折伴严重软组织缺损的创新方法。在这项研究中,我们报告了一名40岁的波斯女性患者，该患者通过弹性髓内钉治疗实现了完全骨折愈合和皮肤移植愈合，真空敷料,和植皮。
结论：弹性髓内钉是重建同时粉碎性骨折和软组织缺损的可行选择。
方法：这项研究描述了一种使用钛弹性钉治疗肱骨多灶性粉碎性开放性骨折伴严重软组织缺损的创新方法。在这项研究中,我们报告了一名40岁的波斯女性患者，该患者通过弹性髓内钉治疗实现了完全骨折愈合和皮肤移植愈合，真空敷料,和植皮。
结论：弹性髓内钉是重建同时粉碎性骨折和软组织缺损的可行选择。
