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首页> 外文期刊>Journal of orthopaedic trauma >Contralateral structural femoral autograft use in treatment of an open periarticular knee fracture to perform knee arthrodesis.
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Contralateral structural femoral autograft use in treatment of an open periarticular knee fracture to perform knee arthrodesis.

机译:对侧结构性股骨自体移植用于治疗开放性膝关节周围膝盖骨折以进行膝关节固定术。

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摘要

Combat-related blast injuries often cause devastating extremity trauma. We report a case of a 21-year-old male service member who sustained massive bilateral lower extremity trauma secondary to a blast injury. His orthopaedic injuries included a near traumatic disarticulation of the right knee and a left open type IIIB periarticular knee fracture with traumatic patellectomy, loss of the extensor mechanism, and segmental loss of the distal 11 cm of his femur. Definitive treatment of his injuries included a contralateral structural cortical femoral autograft which was implanted into the left knee segmental defect to facilitate knee fusion with an intramedullary knee fusion nail and a right transfemoral amputation. Radiographic evidence of solid fusion was obtained 8 months postoperatively. Currently, the patient is a community ambulator with the aid of his right lower extremity prosthetic limb and cane.
机译:与战斗相关的爆炸伤害通常会导致毁灭性的四肢创伤。我们报告了一名21岁男性服务人员的案例,该人员在爆炸伤后遭受了巨大的双侧下肢创伤。他的骨伤包括右膝近乎外伤性骨折和左open门ⅢB型开放性膝关节周围骨折伴外伤性pa骨切除术,伸肌机制丧失以及股骨远端11 cm的部分缺失。对他的损伤的明确治疗包括将对侧结构性股骨皮质自体移植物植入左膝节段性缺损中,以利于使用髓内膝关节融合钉和右股骨截肢术进行膝关节融合。术后8个月获得了牢固融合的影像学证据。目前,患者是右下肢假肢和手杖的帮助者。

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