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PFNA植入术中取出卡在股骨干的折断扩孔钻:1例报告

Removal of broken reamer stuck into femoral shaft in implanting PFNA: a case report.

作者信息

Jiang Gang-Qiang, Zhang Ya-Di, Zhuang Yun-Qiang

机构信息

Department of Orthopedics, Ningbo NO. 6 Hospital, NO. 1059 ZhongShan Road, 315040 Ningbo, PR China.

出版信息

SICOT J. 2018;4:31. doi: 10.1051/sicotj/2018024. Epub 2018 Jul 13.

DOI:10.1051/sicotj/2018024
PMID:30004864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6044857/
Abstract

Femoral intertrochanteric fracture is very common in elderly population. The usual treatment for these patients is intra-extramedullary fixation. In normal situations, expand medullary cavity is needed, in order to implant various intramedullary implants. On rare occasion, which will in turn lead to the reamer is stuck into the medullary cavity of femoral shaft. Open or closed technique for moving of the broken nails had been reported before. We firstly report a novel technique by using handy tool which included in orthopaedic instrument set to remove the broken reamer stuck into femoral cavity when implanting a PFNA.

摘要

股骨转子间骨折在老年人群中非常常见。这些患者的常规治疗方法是髓内固定。在正常情况下,需要扩髓腔以便植入各种髓内植入物。在极少数情况下,这会导致扩孔钻卡在股骨干髓腔内。之前已有关于取出折断钉子的开放或闭合技术的报道。我们首次报告了一种新技术,即在植入股骨近端防旋髓内钉(PFNA)时,使用骨科器械套装中包含的便捷工具取出卡在股骨髓腔内的折断扩孔钻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/17e6b18b38a2/sicotj-4-31-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/248663e72635/sicotj-4-31-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/4651036a1e89/sicotj-4-31-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/959f2090290d/sicotj-4-31-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/17e6b18b38a2/sicotj-4-31-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/248663e72635/sicotj-4-31-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/4651036a1e89/sicotj-4-31-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/959f2090290d/sicotj-4-31-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e9/6044857/17e6b18b38a2/sicotj-4-31-fig4.jpg

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A simple method for removal of the distal segment of a broken femoral intramedullary nail: a case report.一种取出股骨骨折髓内钉远端折断部分的简易方法:病例报告
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