Successful Reimplantation of Extruded Ulnar Diaphyseal Segment: A Case Report and Review of Literature
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Published on: March 24, 2019
Adrian Olson1, Zachary Cox1, Usher Khan2
1Department of Orthopaedic Surgery, Ascension Macomb-Oakland Hospital, Madison Heights, Michigan.
Case:
A 32-year-old man presented with a type II open both-bone forearm fracture and segmental bone loss because of complete extrusion of a diaphyseal fragment (3 cm) of ulna. The patient presented to our level 1 trauma center after a motor vehicle collision. The extruded segment underwent sterilization and immediate reimplantation with internal fixation approximately 6 hours after arrival. Our patient achieved union by 7-month follow-up, demonstrated excellent functional outcomes, and was free from infection at 1-year follow-up.
Conclusion:
In select cases, successful reimplantation can be achieved by meticulous debridement, sterilization, and immediate reimplantation with internal fixation.
