Pongsamakthai Wanjak, Apivatthakakul Theerachai, Sangkomkamhang Thananit
Department of Orthopaedics, Khon Kaen Hospital, Khon Kaen 40000, Thailand.
Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):22-26. doi: 10.1016/j.jcot.2016.10.009. Epub 2016 Nov 3.
Nonunion of femoral shaft fracture is an uncommon complication after closed intramedullary nailing which often leading to nail breakage. Removal of the broken femoral nail with closed manner is a challenging procedure for orthopedic surgeons. The removal technique with the T-reamer is a closed method, which does not require either a nonunion site opening or knee exposing. We reported 3 cases of nonunion femoral shaft with broken slotted and non-slotted hollow nail which were successfully removed without any complication. All fractures healed uneventfully without open the fracture site or bone grafting.
股骨干骨折不愈合是闭合髓内钉固定术后一种少见的并发症，常导致髓内钉断裂。对于骨科医生而言，采用闭合方式取出断裂的股骨髓内钉是一项具有挑战性的操作。使用T型扩孔钻的取出技术是一种闭合方法，既不需要打开骨折不愈合部位，也不需要暴露膝关节。我们报道了3例股骨干骨折不愈合伴开槽和不开槽空心髓内钉断裂的病例，均成功取出且无任何并发症。所有骨折均顺利愈合，未打开骨折部位或进行植骨。
