一名非常活跃的老年女性中短小尺寸的“Affixus”股骨近端髓内钉两点处断裂：病例报告及文献复习

Breakage in Two Points of a Short and Undersized "Affixus" Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature.

作者信息

Rollo Giuseppe, Rinonapoli Giuseppe, Pichierri Paolo, Bisaccia Michele, Caraffa Auro, Meccariello Luigi

机构信息

Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.

Division of Orthopedics and Trauma Surgery, University of Perugia, "S. Maria della Misericordia" Hospital, Perugia, Italy.

出版信息

Case Rep Orthop. 2018 Sep 13;2018:9580190. doi: 10.1155/2018/9580190. eCollection 2018.

INTRODUCTION

Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not the most common complication of intramedullary nailing. Many scientific papers report nail breakage in a specific location: through the lag screw hole, the nail shaft, or the distal locking hole.

MATERIALS AND METHODS

We present a case of an 84-year-old patient treated with modular revision hip arthroplasty due to the breakage in two points of a cephalomedullary nail implanted 3 years earlier for a subtrochanteric fracture.

RESULTS

After modular revision hip arthroplasty, the functional results and quality of life have been excellent.

CONCLUSIONS

As far as we could determine, this appears to be the first case of a breakage of a cephalomedullary nail in two points after nonunion in a very active elderly female.