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[一种在初次髋关节置换术中取出牢固固定的 Küntscher 钉的微创技术]

[A minimally invasive technique for removal of a firmly fixed Küntscher nail in primary hip arthroplasty].

作者信息

Hörth Dominik, Lechler Philipp, Ruchholtz Steffen, Bliemel Christopher

机构信息

Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Marburg, Baldingerstraße, 35043, Marburg, Deutschland.

出版信息

Unfallchirurg. 2019 Aug;122(8):646-649. doi: 10.1007/s00113-019-0624-x.

Abstract

This article reports the case of an 80-year-old male patient who presented to this hospital with symptomatic arthritis of the left hip. The special feature of this case was a Küntscher nail in the left femur that had been in situ for more than 50 years. Before implantation of the total hip arthroplasty the nail first had to be removed. As the Küntscher nail is a rarity nowadays there is no standardized procedure for the removal of such a nail. This case report describes a minimally invasive possibility to remove a Küntscher nail in total hip arthroplasty.

摘要

本文报告了一名80岁男性患者的病例,该患者因左髋部症状性关节炎前来本院就诊。该病例的特殊之处在于左股骨内有一枚Küntscher钉,已在位50多年。在进行全髋关节置换术之前,必须先取出该钉子。由于如今Küntscher钉已较为罕见,因此没有移除这种钉子的标准化程序。本病例报告描述了一种在全髋关节置换术中微创移除Küntscher钉的方法。

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