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哈克斯特普钉在股骨柄周围骨折中的应用。

Use of Huckstep nail in the periimplant femoral shaft fracture.

作者信息

Kim Hong Kyun, Noh Kyu Cheol, Chung Kook Jin, Hwang Ji Hyo

机构信息

Department of Orthopedic Surgery, Kangnam Sacred Heart, Hospital, College of Medicine, Hallym University, Seoul, Korea.

出版信息

Indian J Orthop. 2012 Nov;46(6):718-20. doi: 10.4103/0019-5413.104240.

DOI:10.4103/0019-5413.104240
PMID:23325980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3543895/
Abstract

87-year-old female underwent open reduction of distal femoral fracture and internal fixation with locking compression plate and bone graft. She was operated for ipsilateral proximal femoral fractures and stabilized by intramedullary interlocked nail 5 years ago. She developed stress fracture proximal to locked plate. We inserted Huckstep nail after removal of the previous operated proximal femoral nail without removing the remaining plate and screws. At 15 month followup the fractures have united. The Huckstep nail has multiple holes available for screw fixation at any level in such difficult situations.

摘要

一名87岁女性接受了股骨远端骨折切开复位术，并用锁定加压钢板和骨移植进行内固定。她5年前因同侧股骨近端骨折接受手术，采用髓内交锁钉固定。她在锁定钢板近端发生了应力性骨折。我们在移除先前手术的股骨近端钉后插入了哈克斯特普钉，而没有移除剩余的钢板和螺钉。在15个月的随访中，骨折已愈合。在这种困难情况下，哈克斯特普钉有多个孔，可在任何水平进行螺钉固定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/6b2eae5f7efe/IJOrtho-46-718-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/2876abe63a97/IJOrtho-46-718-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/53984d9d4b88/IJOrtho-46-718-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/50de66eff9b2/IJOrtho-46-718-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/407850b39540/IJOrtho-46-718-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/6b2eae5f7efe/IJOrtho-46-718-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/2876abe63a97/IJOrtho-46-718-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/53984d9d4b88/IJOrtho-46-718-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/50de66eff9b2/IJOrtho-46-718-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/407850b39540/IJOrtho-46-718-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec09/3543895/6b2eae5f7efe/IJOrtho-46-718-g005.jpg

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本文引用的文献

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Management and outcome of periprosthetic fractures after total knee arthroplasty.全膝关节置换术后假体周围骨折的管理与结局
J Trauma. 2010 Jun;68(6):1464-70. doi: 10.1097/TA.0b013e3181d53f81.
2
Periprosthetic femoral fractures: the minimally invasive fixation option.人工关节周围股骨骨折：微创固定选择。
Orthop Traumatol Surg Res. 2010 May;96(3):304-9. doi: 10.1016/j.otsr.2009.09.017. Epub 2010 Apr 20.
3
Arthrodesis with a short Huckstep nail as a salvage procedure for failed total knee arthroplasty.采用短哈克斯特普钉进行关节融合术作为全膝关节置换失败后的挽救手术。
J Bone Joint Surg Am. 1998 Mar;80(3):380-8. doi: 10.2106/00004623-199803000-00011.
4
The Huckstep intramedullary compression nail. Indications, technique, and results.
Clin Orthop Relat Res. 1986 Nov(212):48-61.
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Intramedullary locking nails in the management of femoral shaft fractures.
J Bone Joint Surg Br. 1988 Mar;70(2):206-10. doi: 10.1302/0301-620X.70B2.3346289.