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股骨近端髓内钉拉力螺钉断裂:一种取出技术。

Breakage of a Lag Screw of Cephalomedullary Nail: A Technique of Removal.

作者信息

Tantigate Direk, Riansuwan Kongkhet, Mahaisavariya Banchong, Sukjaitham Kitichai

机构信息

Department of Orthopaedic Surgery and Rehabilitation, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Clin Orthop Surg. 2015 Jun;7(2):261-3. doi: 10.4055/cios.2015.7.2.261. Epub 2015 May 18.

DOI:10.4055/cios.2015.7.2.261
PMID:26217475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4515469/
Abstract

A broken lag screw of the cephalomedullary nail is a rare condition. Removal of the retained lag screw from the femoral head is also very challenging. This article describes a surgical technique and the modified instrument that was available in the operating room for removing the broken implant by closed technique.

摘要

股骨髁上交锁髓内钉的拉力螺钉断裂是一种罕见情况。从股骨头取出残留的拉力螺钉也极具挑战性。本文描述了一种手术技术以及在手术室可用的改良器械,用于通过闭合技术取出断裂的植入物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cc/4515469/26f0e4e1563a/cios-7-261-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cc/4515469/ea729f416c95/cios-7-261-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cc/4515469/92b8caccd78c/cios-7-261-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cc/4515469/26f0e4e1563a/cios-7-261-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cc/4515469/ea729f416c95/cios-7-261-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cc/4515469/92b8caccd78c/cios-7-261-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8cc/4515469/26f0e4e1563a/cios-7-261-g003.jpg

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J Trauma Acute Care Surg. 2012 Feb;72(2):E65-70. doi: 10.1097/ta.0b013e3182170823.
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Surgeon versus metalwork--tips to remove a retained intramedullary nail fragment.
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Case report: unique failure of a Synthes TFNA fenestrated lag screw in a peritrochanteric nonunion.病例报告:Synthes TFNA 开窗拉力螺钉在转子周围骨不连中的罕见失败案例
OTA Int. 2022 Mar 18;5(2):e203. doi: 10.1097/OI9.0000000000000203. eCollection 2022 Jun.
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