取出折断的带锁胫骨髓内钉：一种简单的髓内技术。

Removal of a broken cannulated tibial nail: a simple intramedullary technique.

作者信息

Levine Jason W, Georgiadis Gregory M

机构信息

Department of Orthopaedic Surgery, Medical College of Ohio, 3065 Arlington Avenue, Toledo, OH, USA.

出版信息

J Orthop Trauma. 2004 Apr;18(4):247-9. doi: 10.1097/00005131-200404000-00011.

DOI:10.1097/00005131-200404000-00011

PMID:15087971

Abstract

We present a case illustrating the extraction of a distal segment of a broken cannulated tibial nail. Using minimal soft tissue dissection, a ball-tipped guidewire is inserted through the medial malleolus. It is then threaded through the distal aspect of the broken nail. The guide wire is advanced further proximally out the standard knee incision. When the ball tip engages the end of the broken nail, it can be removed easily.

摘要

我们展示了一个病例，说明如何取出折断的带锁胫骨髓内钉的远端部分。通过最小限度的软组织分离，将球头导丝经内踝插入。然后将其穿过折断钉子的远端。导丝进一步向近端推进，从标准的膝关节切口穿出。当球头与折断钉子的末端接合时，就可以轻松将其取出。