Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review  

作　　者：Bo Lv Feng Xue Yu-Chun Shen Fang-Bao Hu Ming-Mang Pan 

机构地区：[1]Department of Orthopaedics,Shanghai Fengxian District Central Hospital,Shanghai Jiao Tong University Affiliated Sixth People’s Hospital South Campus,Shanghai 201499,China [2]Intensive Care Unit,Shanghai Fengxian District Central Hospital,Shanghai Jiao Tong University Affiliated Sixth People’s Hospital South Campus,Shanghai 201499,China

出　　处：《World Journal of Clinical Cases》2021年第1期197-203,共7页世界临床病例杂志

基　　金：Shanghai Fengxian District Osteoarthropathy Clinical Diagnosis and Treatment Center,China,No.fxlczlzx-a-201704.

摘　　要：BACKGROUND Pulmonary thromboembolism(PTE)is a serious postoperative complication that can occur after a fracture.Generally,PTE is caused by the falling off of lower extremity deep vein thrombosis(LEDVT)after lower limb fracture surgery.LEDVT and PTE after upper extremity fracture surgery are very rare.PTE is one of the most common clinical causes of sudden death.Venous thromboembolism includes PTE and DVT.We experienced one case of LEDVT and PTE after distal ulna and radius fracture surgery.The purpose of our report is to raise awareness for orthopedic surgeons that PTE can occur after distal ulna and radius fracture surgery,and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner.CASE SUMMARY We report a 51-year-old Chinese male who had severe fractures of the left distal ulna,radius and little finger after a motorcycle accident.The patient underwent external fixation,open reduction and internal fixation.On the third post-operative day,computed tomographic pulmonary angiography showed PTE.Doppler ultrasonography showed thrombus formation in the bilateral posterior tibial veins.After a period of anticoagulation therapy,on the 25th d after the PTE,computed tomographic pulmonary angiography showed that thrombus in both sides of the pulmonary artery disappeared.Furthermore,about 4 mo after the PTE,thrombosis in the deep veins of the lower limbs disappeared.About 1 year after the surgery,X-rays showed good fracture healing,and the function of the wrist joint recovered well.CONCLUSION Though rare,PTE can occur after distal ulna and radius fracture surgery and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner.

关 键 词：Distal ulna and radius fracture Pulmonary thromboembolism Deep venous thrombosis External fixation Open reduction and internal fixation Case report 

分 类 号：R687.3[医药卫生—骨科学]