Revision osteosynthesis of ulnar fracture (clinical case)

Abstract

Fractures of the forearm bones are one of the most common injuries of the upper limb. Due to the increase in injuries, the urgency of the problem of treating these fractures is increasing. Difficulties in osteosynthesis of fractures of the forearm bones are associated with the peculiarities of the topographic anatomy of the forearm, the subtlety of the biomechanical interaction of the radius and ulna, a large number of damage options, the need for precise reposition and stable fixation, the risk of damage to tendons and nerves. The purpose of this research is to demonstrate the successful experience of treating a patient with a closed fracture of the upper third of both bones of the left forearm. Materials and Methods: description of a clinical case and a brief analysis of the literature on this topic. The experience of revision osteosynthesis of a closed fracture of the upper third of both bones of the left forearm with angular deformation of the metal structure and secondary displacement of fragments is presented. The effectiveness of treatment was evaluated based on the data of the X-ray examination method, computed tomography, as well as when assessing the function and volume of movements in the elbow joint. Results: revision osteosynthesis of the fracture of the upper third of both bones of the left forearm with a plate with angular stability with autotransplantation of bone tissue from the crest of the tibia of the left tibia was performed. The restoration of limb function and the patient’s ability to work has been achieved.