Sayegh Fares E, Tsintzas Dionysios, Kapetanos George A
Department of Orthopaedic Surgery, General District Hospital Papageorgiou, Aristotle University of Thessaloniki, Greece.
Acta Orthop Belg. 2005 Apr;71(2):239-41.
The authors report the case of a 61-year-old patient who underwent internal fixation with a dynamic hip screw for a stable intertrochanteric fracture of the right hip. The immediate postoperative radiograph showed complete intrapelvic migration of the threaded guide pin, which has gone unnoticed during operation. The pin was removed by laparotomy, and was found to have damaged no pelvic viscera; the patient made an uneventful recovery. The authors analyse the mechanism of such iatrogenic complications and the possible means to avoid them.
作者报告了一例61岁患者的病例，该患者因右侧髋部稳定型转子间骨折接受了动力髋螺钉内固定术。术后即刻的X线片显示螺纹导针完全向盆腔内移位，而这在手术过程中未被注意到。通过剖腹手术取出了导针，发现其未损伤盆腔脏器；患者恢复顺利。作者分析了此类医源性并发症的发生机制以及避免这些并发症的可能方法。
