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Challenges Faced in the Management of Radial Shaft Nonunion and Implant Failure on a Background of Distal Radius Malunion

机译:Mal骨远端畸形背景下the骨骨不愈合和植入失败的管理面临的挑战

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摘要

A 70-year-old, right-hand dominant woman with an active lifestyle was referred to our upper limb clinic with a distal radial shaft nonunion and implant failure, on a background of distal radius malunion of the left forearm. She had a fall one year ago where she fractured the distal third of her left radial shaft and was treated with a narrow limited contact dynamic compression plate (LCDCP) in her local hospital. Postoperatively, she continued with painful and restricted range of movements in her forearm and wrist. One year after surgery, while removing her jumper, she felt a sharp pain, snap, and deformity in her forearm due to implant failure and nonunion ( ). Few centimeters distal to the nonunion segment, she also has a decade-old distal radius malunion, following conservatively managed extra-articular distal radial fracture.
机译:一名70岁,生活方式活跃的右手优势女性因左臂远端radius骨畸形的背景被转诊到我们的上肢诊所,with骨远端骨不愈合且植入失败。一年前,她跌倒了,摔伤了左radial骨远端的三分之一,并在当地医院接受了狭窄的有限接触动态加压板(LCDCP)的治疗。术后,她的前臂和腕部活动受限且疼痛受限。手术一年后,在移除跳线时,由于植入物失败和骨不连合,她的前臂出现了剧烈的疼痛,snap动和畸形( )。在不愈合的远端几厘米处,在保守治疗关节外distal骨远端骨折后,她的has骨远端畸形也已有十年之久。

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