کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4067535 1604392 2012 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Reconstruction of the Ulnar Head With a Vascularized Second Metatarsal Head: Case Report
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Reconstruction of the Ulnar Head With a Vascularized Second Metatarsal Head: Case Report
چکیده انگلیسی

A case of a young patient with avascular necrosis of the ulnar head following a severely displaced ulnar head fracture is presented. Treatment included debridement of the entire ulnar head, leaving the ulnar styloid, sigmoid notch, triangular fibrocartilage, and both distal radioulnar ligaments intact. The head of the ulna was reconstructed by transferring a vascularized second metatarsal head. At 4-year follow-up, the patient had a pain-free wrist with 45° active pronation and 65° supination. He resumed working without limitations as a manual laborer. We conclude that ulnar head reconstruction with a vascularized second metatarsal head is worthwhile in the setting of an unreconstructable traumatic defect, particularly when the sigmoid notch and distal radioulnar ligaments are preserved.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 37, Issue 8, August 2012, Pages 1568–1573
نویسندگان
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