使用铰链式外固定器和肌肉转移进行创伤性截肢后的肘关节屈曲重建：病例报告。

Q4 Medicine JBJS case connector Pub Date : 2024-09-20 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00189

Shunsuke Miyaoka, Hiroshi Yamazaki, Masanori Hayashi, Fumihiro Isobe, Yukiho Abe, Toshiyasu Sakurai

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引用次数: 0

摘要

病例一名 40 岁的男子因外伤导致肘关节脱节，但没有骨折，同时伴有肱二头肌和肱肌的严重损伤。再植后，使用铰链式外固定器进行肘关节被动运动，以促进肘关节的缩小和活动。伤后八个月，进行了功能性背阔肌转移以恢复肘关节屈曲。术后十年，他的肘关节实现了反重力屈曲，肘关节屈曲120°，伸展-15°：结论：这种重建技术对于外伤性肘关节脱节后的肘关节屈曲重建非常有用。

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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Elbow Flexion Reconstruction after Traumatic Amputation Using Hinged External Fixator and Muscle Transfer: A Case Report.

Case: A 40-year-old man sustained a traumatic elbow disarticulation without any fracture, accompanied by severe damage of the biceps and brachialis. After replantation, passive elbow motion was used with a hinged external fixator to facilitate elbow joint reduction and mobility. Eight months after the injury, a functional latissimus dorsi transfer for elbow flexion restoration was performed. Ten years postoperatively, he achieved antigravity elbow flexion and 120° of flexion and -15° extension of the elbow.

Conclusion: This reconstruction technique was useful for reconstructing elbow flexion after traumatic elbow disarticulation.

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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.