Two-stage management of traumatic comminuted trapezium fracture with severe bone defect: a case report and literature review.
Chen Li, Yitie Chang, Jingxuan Cui et al.
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Case in brief
A 51-year-old man presented with severe right wrist pain and limited thumb motion following a nail-gun injury, which resulted in a comminuted trapezium fracture with significant bone loss. The patient underwent a two-stage management approach, first involving debridement and placement of an antibiotic-loaded bone cement spacer, followed by implantation of a custom 3D-printed trapezium prosthesis. At 9 months, he achieved satisfactory motion and resumed daily activities.
What made this case unusual
The use of a custom 3D-printed trapezium prosthesis in a staged management approach for a traumatic comminuted trapezium fracture with severe bone loss is noteworthy.
Diagnostic / clinical pearl
Clinicians should consider staged reconstructive strategies, including 3D printing, for complex trapezium fractures with significant bone loss when traditional methods may not suffice.
Why it matters
This case highlights the potential of innovative reconstructive techniques in managing challenging orthopedic injuries, emphasizing the need for individualized treatment plans.