1st Department of Orthopaedics, Aristotle University of Thessaloniki, G. Papanikolaou General Hospital, Thessaloniki, Greece.
Injury. 2013 Aug;44(8):1140-2. doi: 10.1016/j.injury.2013.04.002. Epub 2013 Apr 25.
In 6 of the 81 patients who were treated with intramedullary nailing for a femoral or tibial fracture the ball-tipped guidewire was impossible to remove manually after nail implantation. In four cases we had to remove the implant and to re-insert the nail. While this is a relatively common complication well known to orthopaedic and trauma surgeons, it has not been previously reported. We developed and tested in vitro a reverse cutting guidewire that was able to successfully deal with this problem obviating the need for implant removal and re-insertion.
在 81 例接受髓内钉治疗股骨或胫骨骨折的患者中，有 6 例在植入钉后无法手动取出球头导丝。在四种情况下，我们不得不取出植入物并重新插入钉子。虽然这是一个相对常见的并发症，骨科和创伤外科医生都很熟悉，但以前没有报道过。我们开发并在体外测试了一种反向切割导丝，它能够成功地解决这个问题，避免了取出和重新插入植入物的需要。
