汽车碰撞导致桡骨远端种植体周围骨折。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Manuela Gabi Poroh, Teodor Stefan Gheorghevici, Bogdan Puha, Paul Dan Sirbu, Norin Forna, Ovidiu Alexa
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引用次数: 0

摘要

随着全球范围内涉及骨科植入物的外科手术数量的增加,植入物周围骨折在骨科中越来越重要。这些骨折在诊断、治疗和术后管理方面提出了重大挑战。它们表现为植入体远端应力性骨折。制定有效的治疗策略需要评估多种影响因素。本文报道一例罕见的63岁男性桡骨远端假体周围骨折,无合合症,由车祸引起,在Michele D'Arienzo系统中被分类为C1U。手术干预包括桡骨的钢板固定和尺骨的金属丝固定。由于皮肤损伤,将金属丝代替钢板用于尺骨,效果良好。随着预期寿命的增加和个体在老年时期保持活跃,种植体周围骨折的发生率预计会增加。诸如植入物类型、外科医生入路和患者特异性因素等因素可能影响植入物周围骨折的发生。钢板固定在桡骨远端骨折中的广泛应用也可能导致此类骨折的平行增加。提供详细的背景和具体的病例介绍可以更好地理解和影响临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Peri-implant distal radius fracture due to car collision.

Peri-implant distal radius fracture due to car collision.

Peri-implant distal radius fracture due to car collision.

Peri-implant fractures have gained increasing importance in orthopedics as the number of surgical procedures involving orthopedic implants rises globally. These fractures pose a significant challenge in terms of diagnosis, treatment, and postoperative management. They manifest as stress fractures distal to the implant site. Developing an effective treatment strategy involves evaluating multiple influencing factors. This article presents a rare case of a peri-implant distal radius fracture in a 63-year-old man, with no comorbidities, resulting from a car accident, classified as C1U in the Michele D'Arienzo system. The surgical intervention included plate fixation for the radius and wire fixation for the ulna. The wire was used for ulna instead of a plate, due to skin injuries, with good results. As life expectancy rises and individuals remain active in their elder years, the incidence of peri-implant fractures is expected to increase. Factors such as the implant type, surgeon's approach, and patient-specific elements may influence peri-implant fracture occurrence. The widespread use of plate fixation for distal radius fractures may also contribute to a parallel increase in such fractures. Providing detailed context and specific case presentation allows better understanding and implications for clinical practice.

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