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髋螺钉外侧移位且无穿出或骨不连迹象:一例报告

Hip screw lateral migration with no cut-out or non-union implication: a case report.

作者信息

Lasanianos Nikolaos, Mouzopoulos Georgios, Georgilas Ioannis

机构信息

1st Trauma and Orthopaedic Surgery Department "Evangelismos" General Hospital of Athens Lontou 12, Palea Penteli, 15236, Athens, Greece.

出版信息

Cases J. 2009 Mar 10;2:6419. doi: 10.1186/1757-1626-0002-0000006419.

Abstract

Hip screw migration of peritrochanteric fracture fixation devices is a described complication in English literature. Medial migration occupies the majority of these cases whereas lateral migration is rare. We report the case of an 85-year-old woman whose intramedullary osteosynthesis of a trochanteric fracture was complicated by hip screw lateral migration. Mobilization was not influenced and no cut-out or non-union was detected. The migrated hip screw was easily removed and the discomfort vanished. The need for adequate surgical technique and radiographic examination after re-injuries even if the patient remains ambulatory is emphasised.

摘要

髋部转子周围骨折固定装置的髋螺钉移位是英文文献中描述的一种并发症。内侧移位占这些病例的大多数,而外侧移位很少见。我们报告了一例85岁女性,其转子骨折的髓内骨固定术因髋螺钉外侧移位而出现并发症。活动能力未受影响,未检测到螺钉穿出或骨不连。移位的髋螺钉很容易取出,不适感消失。强调即使患者仍能行走,再次受伤后也需要适当的手术技术和影像学检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2620/2827058/21e0e57b591c/1757-1626-0002-0000006419-1.jpg

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本文引用的文献

1
Implant failure of long Gamma nail in a patient with intertrochanteric-subtrochanteric fracture.
J Orthop Sci. 2006 Nov;11(6):638-43. doi: 10.1007/s00776-006-1068-z. Epub 2006 Dec 4.
3
Sigmoid perforation after medial migration of lag screw in gamma nailing.伽马钉拉力螺钉向内侧移位后乙状结肠穿孔
Arch Orthop Trauma Surg. 2006 Mar;126(2):118-22. doi: 10.1007/s00402-005-0085-2. Epub 2006 Jan 3.
7
Complications following the treatment of trochanteric fractures with the gamma nail.使用伽马钉治疗转子骨折后的并发症。
Arch Orthop Trauma Surg. 2004 Dec;124(10):692-8. doi: 10.1007/s00402-004-0744-8. Epub 2004 Oct 23.

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