青少年远距离腰椎体质骨折与延伸器视网膜间接位置
Sathya Vamsi Krishna1, Greg Bain2
1Department of Hand and Reconsturctive Microsurgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Bengaluru, Karnataka, India.
在青少年中,孤立的远端骨骨折很少见,但由于软组织的插入,可能无法减少. 用特定技术进行开放式减轻是必要的,以确保适当的愈合和关节稳定.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
背景情况:
- 孤立的远端骨骨折不常见,通常与远端半径骨折有关.
- 保守的管理是典型的,但由于软组织的插入,一些病例需要手术干预.
- 这些损伤在儿童和青少年患者中尤其令人担忧,因为潜在的增长停止.
研究的目的:
- 在青少年中报告两例不可减小的隔离远端骨折.
- 突出延伸视网膜和肌插座在骨折不可减少性中的作用.
- 描述一种有效的手术技术来处理这种复杂的骨折.
主要方法:
- 开放的减少与前臂在hypersupination.
- 使用钉子进行手术固定,以保持远端骨轴的哥特式门.
- 专注于实现骨结合和恢复远端放射性关节 (DRUJ) 的稳定性.
主要成果:
- 在两个青少年病例中都取得了成功的骨结合.
- 在手术后恢复了远距离放射关节的稳定性.
- 开放的减少有效地解决了由软组织插入引起的不可减少性.
结论:
- 青少年的不可减小的隔离远端骨骨折,特别是那些具有延伸视网膜插座的骨折,需要开放的减小.
- 过度吸入和针固定对于成功的手术管理至关重要.
- 保持DRUJ一致性至关重要,即使完美的关节缩小具有挑战性.
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