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首页> 外文期刊>Journal of Surgical Case Reports >PHILOS humerus plate for a distal tibial fracture
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PHILOS humerus plate for a distal tibial fracture

机译：PHILOS肱骨板治疗胫骨远端骨折

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摘要

This report discusses the use of an alternative implant in the emergency fixation of a distal tibial fracture. We planned to fix the shear-type medial malleolar fracture in a closed, tri-malleolar fracture with a locking distal tibial plate. Intra-operatively, it was noted that the required plate was unavailable. A PHILOS humeral plate seemed to fit the contours of the distal tibia. The broad end of the PHILOS, when placed distally, gave options to place locking screws in the medial malleolar fragment. The fracture was stable after fixation. The patient made a full post-operative recovery and follow-up at 4 months was satisfactory. Despite adequate planning, there will be instances where one has to improvise. An understanding of the principles of fracture management can aid in finding solutions. PHILOS humeral plate may be used to stabilize a distal tibial fracture if an appropriate distal tibial locking plate is not available.
机译：该报告讨论了在胫骨远端骨折的紧急固定中使用替代植入物的方法。我们计划用锁定的远端胫骨板将剪切型内侧踝骨折固定在闭合的三尖瓣骨折中。术中注意到，所需的钢板不可用。 PHILOS肱骨板似乎适合胫骨远端的轮廓。 PHILOS的宽端放置在远端时，可以选择将锁定螺钉放置在踝部内侧片段中。固定后骨折稳定。该患者术后完全康复，术后4个月随访满意。尽管进行了充分的计划，但仍有一些情况需要即兴创作。对裂缝管理原理的理解可以帮助找到解决方案。如果没有合适的胫骨远端锁定板，PHILOS肱骨板可用于稳定胫骨远端骨折。

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