Floating elbow combining ipsilateral distal multiple segmental forearm fractures: A case report  

作　　者：Guo-Hua Huang Jiang-An Tang Tie-Yi Yang Yue Liu 

机构地区：[1]Department of Orthopedics,Shanghai Pudong New Area Gongli Hospital,Affiliated to the Second Military Medical University,Shanghai 200135,China

出　　处：《World Journal of Clinical Cases》2021年第14期3372-3378,共7页世界临床病例杂志

基　　金：Supported by Discipline Construction Project of Characteristic Clinic of Pudong New Area Health Commission,China,No.PWYts2018-03;Research Grant for Health Science and Technology of Pudong Health and Family Planning Commission of Shanghai,China,No.PW2020A-28;Top-notch Talent Training Program of Pudong Gongli Hospital,China,No.GLRb2020-04.

摘　　要：BACKGROUND Floating elbow along with ipsilateral multiple segmental forearm fracture is a rare and high-energy injury,although elbow dislocation or fracture of the ulna and radius may occur separately.CASE SUMMARY We report the case of a 37-year-old woman with open(IIIA)fracture of the right distal humerus with multiple shaft fractures of the ipsilateral radius and ulna with a history of falling from a height of almost 20 m from a balcony.After providing advanced trauma life support,damage control surgery was performed to debride the arm wound and temporarily stabilize the right upper limb with external fixators in the emergency operating room.Subsequently,one-stage internal fixation of multiple fractures was performed with normal values of biochemical indicators and reduction in limb swelling.The patient achieved good outcome at the 7 mo follow-up.CONCLUSION One-or two-stage treatment must be performed according to the type of injury;we efficiently used the“damage control principle.”

关 键 词：Floating forearm Advanced trauma life support Internal fixation Multiple fractures Open fracture Case report 

分 类 号：R687.3[医药卫生—骨科学]