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Kinematic History of a Salient-recess Junction Explored through a Combined Approach of Field Data and Analog Sandbox Modeling
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Plate mouse.

Hitesh Lal1, Deepak Kumar Sharma2, Deepak Mittal3

  • 1Specialist and Assistant Professor, Department of Orthopaedics, Postgraduate Institute of Medical Education and Research & Associated Dr. Ram Manohar Lohia Hospital, New Delhi, India.

Journal of Clinical Orthopaedics and Trauma
|September 26, 2015
PubMed
Summary
This summary is machine-generated.

A rare case of humerus fracture plate migration to the forearm was reported in a farmer. This unique implant migration highlights potential complications beyond typical implant failure in fracture fixation.

Keywords:
HumerusImplant failureNon-union fracturePlate migration

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Fracture shaft of the humerus is prone to non-union after surgical fixation, often due to implant failure.
  • Common causes of implant failure include fracture characteristics, material issues, surgical technique, and fixation mechanics.
  • Implant breakage and cut-through are known complications, but extensive migration between anatomical compartments is rarely documented.

Purpose of the Study:

  • To report a unique case of a surgically implanted plate migrating from the humerus to the forearm.
  • To discuss the implications of such extensive implant migration in orthopedic surgery.

Main Methods:

  • A case study of a 45-year-old male farmer presenting with forearm pain due to a subcutaneous plate.
  • Radiographic examination (X-ray of elbow and forearm) to identify the location and extent of implant migration.
  • Clinical assessment and patient decision-making regarding treatment options for humerus non-union and implant migration.

Main Results:

  • A plate used for humerus fracture fixation 15 years prior had migrated from the arm to the forearm.
  • The patient experienced pain attributed to the subcutaneous presence of the migrated plate in the forearm.
  • The patient opted against surgical intervention for the humerus non-union, prioritizing his ability to perform farming activities.

Conclusions:

  • This case highlights an unprecedented instance of implant migration from the humerus to the forearm, expanding the spectrum of known implant-related complications.
  • The patient's functional status and personal choice influenced the decision against further surgical management, underscoring the importance of individualized treatment planning.