Grimme K, Gosling T, Pape H C, Schandelmaier P, Krettek C
Unfallchirurgische Klinik, Medizinische Hochschule, Hannover.
Unfallchirurg. 2004 Jun;107(6):532-6. doi: 10.1007/s00113-004-0760-8.
A 26-year-old female patient with a femoral shaft fracture underwent retrograde femoral nailing. Nail removal was performed 2 years later, after fracture healing. An intraoperative fracture of the medial condyle of the femur occurred. This complication has not been previously described in the literature. Screw osteosynthesis of the fracture was performed and articular congruence reestablished. After 6 weeks of fractional weight bearing, the patient proceeded up to full weight bearing without complication. The case demonstrates that the removal of retrograde femoral nails is not without complications. The decision to undertake implant removal should be made carefully.
一名26岁股骨干骨折女性患者接受了股骨逆行髓内钉固定术。骨折愈合后2年取出髓内钉。术中发生股骨内侧髁骨折。该并发症此前未见文献报道。对骨折进行了螺钉内固定并恢复了关节面的一致性。经过6周部分负重后，患者进展至完全负重且未出现并发症。该病例表明，股骨逆行髓内钉取出并非没有并发症。决定取出植入物时应谨慎。
