Radius and ulna fracture

桡骨和尺骨骨折
  • 文章类型: Case Reports
    具有较大骨缺损和不愈合的骨折对兽医骨科医师来说是一个巨大的挑战。在小型犬种中,这种并发症通常发生在桡骨和尺骨骨折中,原因是前臂远端血管形成较差.
    描述了一个1.5岁的Pinscher在创伤和两次连续不成功的骨合成后发生的桡骨/尺骨不愈合的情况。手术翻修期间,在移除现有的骨植入物后,骨缺损填充皮质自体骨移植。将与促红细胞生成素混合的自体松质骨近端和远端应用于皮质自体移植物,以刺激骨愈合。术后无并发症。早在术后第9周,这只动物能够承受四肢的重量,没有跛行的迹象,疼痛,和肿胀。放射学上,观察到移植物的非常好的桥接。手术翻修后15周,骨折完全愈合,临床效果良好。
    应用自体皮质骨移植物和松质骨自体移植物与促红细胞生成素混合显示出优异的治疗效果,并导致在15周内完全再生大骨缺损。
    UNASSIGNED: Fractures with large bone defects and non-unions are a great challenge for veterinary orthopaedists. In small dog breeds, this complication is commonly encountered in fractures of the radius and ulna due to poorer vascularisation of the distal antebrachium region.
    UNASSIGNED: A case of radius/ulnar non-union in a 1.5-year-old Pinscher occurring after trauma and two successive unsuccessful osteosyntheses is described. During the operative revision, after the removal of existing bone implants, the bone defect was filled with cortical autologous bone graft. Autocancellous bone mixed with erythropoietin was applied proximally and distally to the cortical autograft for stimulation of bone healing. The post-operative period was without complications. As early as the 9th post-operative week, the animal was able to bear weight on the limb, without signs of lameness, pain, and swelling. Radiologically, a very good bridging of the graft was observed. Fifteen weeks after the operative revision, the fracture was completely healed with excellent clinical outcome.
    UNASSIGNED: The application of autogenous cortical bone graft and cancellous autograft mixed with erythropoietin demonstrated an excellent therapeutic effect and resulted in complete regeneration of the large bone defect over a 15-week period.
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  • 文章类型: Case Reports
    成人前臂骨骨折(BBFF)是常见的损伤,由于其不稳定性,通常采用手术固定治疗。非移位骨折理论上可以非手术治疗,但没有文献证明此类骨折的治疗结果.
    我们介绍了一例23岁的白种人男性成人未移位BBFF的病例,该患者接受了石膏固定和超声刺激器的治疗;该患者继续进行了坚实的骨折愈合,没有并发症。
    基于这种情况,我们证明,如果可以进行密切随访,则对成年患者进行非移位BBFF的非手术治疗是一种选择.这对于骨科和整形外科领域都具有重要意义,因为在手外科文献中很少有关于此类非移位骨折结果的具体证据.
    UNASSIGNED: Adult both bone forearm fractures (BBFF) are common injuries that are typically treated with operative fixation given their instability. Non-displaced fractures can be theoretically treated non-operatively, but there is no literature demonstrating treatment outcomes of such fractures.
    UNASSIGNED: We present a case of non-displaced BBFF in a 23-year-old Caucasian male adult who was treated with cast immobilization and concomitant ultrasound stimulator use; this patient went on to have solid fracture healing without complication.
    UNASSIGNED: Based on this case, we demonstrate that non-operative management of non-displaced BBFF in adult patients is an option if close follow-up is available. This is significant for the fields of both orthopedic and plastic surgery, as there is little concrete evidence of outcomes of such non-displaced fractures in hand surgery literature.
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  • 文章类型: Case Reports
    A peri-implant fracture near the volar plate of distal radius represent a very rare injury. The main factor of this lesion is high energy trauma on the wrist. We report a case of a 61-year-old woman with a peri-implant fracture located just proximally to the plate and a fracture of the ulnar head that occurred after a simple fall. The patient was surgically treated by plate and screws removal. The fracture was fixed using a longer volar plate for the radial fracture and a plate for the head ulnar fracture. Different factors such as osteoporosis, BMI and screw position could influence the fracture pattern. However, considering growing use of plates for distal radius fracture fixation, the frequency of these kind of fracture will probably increase.
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