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碳纤维增强聚醚醚酮胫骨髓内钉灾难性失败:一例报告

Catastrophic Failure of a Carbon-Fiber-Reinforced Polyetheretherketone Tibial Intramedullary Nail: A Case Report.

作者信息

Loeb Alexander E, Mitchell Stuart L, Osgood Greg M, Shafiq Babar

机构信息

Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland.

出版信息

JBJS Case Connect. 2018 Oct-Dec;8(4):e83. doi: 10.2106/JBJS.CC.18.00096.

Abstract

CASE

We present a case of a rare low-energy catastrophic failure of a carbon-fiber-reinforced polyetheretherketone tibial intramedullary nail at 10 weeks after placement in a 36-year-old man. We describe our experience with extraction of the device.

CONCLUSION

Carbon-fiber composite implants are approved for clinical use in orthopaedic trauma applications. The rare failure of carbon-fiber implants presents unique challenges because typical extraction techniques cannot be used. With the patient described herein, a terminally threaded guidewire was used to cannulate and extract the distal segment of the nail.

摘要

病例

我们报告了一例罕见的低能量灾难性事件,一名36岁男性在植入碳纤维增强聚醚醚酮胫骨髓内钉10周后,该髓内钉发生断裂。我们描述了取出该装置的经验。

结论

碳纤维复合植入物已被批准用于骨科创伤的临床应用。碳纤维植入物的罕见断裂带来了独特的挑战,因为无法使用典型的取出技术。对于本文所述的患者,使用了末端带螺纹的导丝插入并取出髓内钉的远端部分。

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