Successful Reimplantation of Extruded Ulnar Diaphyseal Segment: A Case Report and Review of Literature.

Q4 Medicine

JBJS case connector Pub Date : 2024-08-22 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00007

Adrian Olson, Zachary Cox, Usher Khan, Benjamin Best

引用次数: 0

Abstract

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.

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成功再植挤出的尺骨骺段：病例报告与文献综述

病例一名 32 岁的男子因尺骨二骺片段（3 厘米）完全脱出而导致前臂 II 型开放性双骨骨折和节段性骨缺损。患者是在一次机动车碰撞后到我们的一级创伤中心就诊的。在到达医院约 6 小时后，对挤出的部分进行了消毒，并立即进行了内固定再植。我们的患者在7个月的随访中达到了骨结合，表现出了极佳的功能效果，并且在1年的随访中没有受到感染：结论：在特定病例中，通过仔细清创、消毒和立即再植并内固定，可以成功实现再植。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.