Induced Membrane Wrist Fusion with Ring External Fixator Assistance in a Mangled Upper Extremity: A Case Report

Division

North Texas

Hospital

Medical City Denton

Document Type

Case Report

Publication Date

5-1-2025

Keywords

Wrist fusion, hand, induced membrane, induced membrane technique, mangled extremity, mangled limb, masquelet, trauma, upper extremity, wrist

Disciplines

Medicine and Health Sciences | Orthopedics | Surgical Procedures, Operative

Abstract

INTRODUCTION: In the mangled forearm injury, a decision between limb salvage or amputation must be made.

CASE REPORT: This case report highlights a 37-year-old patient that sustained a mangled wrist injury with a substantial amount of bone loss to the distal radius after an All-Terrain Vehicle (ATV) rollover accident. The decision for limb salvage was made and he was treated with the induced membrane technique with wrist arthrodesis using a ring external fixator with a satisfactory outcome.

CONCLUSION: This case report demonstrates the successful use of the induced membrane technique with a ring external fixator as a limb salvage technique to achieve wrist fusion in a mangled extremity with segmental bone loss.

Publisher or Conference

Journal of Orthopedic Case Reports

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