2025, Vol. 7, Issue 2, Part D
Management of open type II ulnar fracture with multiple extensor tendon lacerations: A case report
Author(s): R Hariharasudhan, Sunil Kumar PC and Mohd Ejazul Haq Chand
Abstract: Background:Open forearm injuries involving both fractures and multiple extensor tendon lacerations are complex and present significant challenges in restoring function. Early surgical intervention combining fracture fixation and meticulous tendon repair is critical to optimize recovery and prevent disability.
Case Presentation: An 18-year-old female sustained a left forearm open type II ulnar fracture with complete lacerations of multiple extensor tendons (extensor carpi ulnaris, extensor digiti minimi, extensor digitorum, extensor indicis, and extensor pollicis longus) following a sharp object injury. Surgical treatment involved open reduction and internal fixation of the ulna with a dynamic compression plate, and tendon repairs using modified Kessler (3-0 Ethilon) and 90
-90 suture techniques (4-0 Ethilon), supplemented with epitendinous suturing. The limb was protected with slab for 8 weeks, along with structured physiotherapy.
Results: At three months, the patient achieved radiological union of the ulna and near-normal hand function, with full finger and thumb extension, complete wrist mobility, and minimal residual pain. There were no postoperative complications such as tendon rupture or infection.
Conclusion: This case underscores the importance of integrated surgical management and early, guided rehabilitation in complex upper limb trauma. Employing evidence-based tendon repair techniques alongside stable fracture fixation facilitates excellent functional outcomes in open forearm injuries with multiple tendon lacerations.
DOI: 10.22271/27078345.2025.v7.i2d.293Pages: 233-235 | Views: 148 | Downloads: 75Download Full Article: Click Here
How to cite this article:
R Hariharasudhan, Sunil Kumar PC, Mohd Ejazul Haq Chand.
Management of open type II ulnar fracture with multiple extensor tendon lacerations: A case report. Int J Case Rep Orthop 2025;7(2):233-235. DOI:
10.22271/27078345.2025.v7.i2d.293
