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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.

DOI:10.1007/s00113-019-0624-x
PMID:30824968
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。

相似文献

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[A minimally invasive technique for removal of a firmly fixed Küntscher nail in primary hip arthroplasty].[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]
Unfallchirurg. 2019 Aug;122(8):646-649. doi: 10.1007/s00113-019-0624-x.
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引用本文的文献

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Kuntscher nail removal: Revision of a failed hip resurfacing above an incarcerated Kuntscher nail. A case report of a smart nail extraction technique through a custom-made instrumentation.克氏针取出术:对一枚嵌顿于体内的克氏针上方失败的髋关节表面置换术进行翻修。通过定制器械进行巧妙克氏针取出技术的病例报告。
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Episiotomy-assisted Incarcerated Femoral Nail Removal: Technical Note.会阴切开辅助取出嵌顿股骨钉:技术说明
J Orthop Case Rep. 2023 Jan;13(1):70-73. doi: 10.13107/jocr.2023.v13.i01.3520.
3
[Removal of a bent femoral nail : Case report: treatment strategy of a complex femoral deformity with a bent femoral nail in situ since 36 years].

本文引用的文献

1
Complications after direct anterior versus Watson-Jones approach in total hip arthroplasty: results from a matched pair analysis on 1408 patients.全髋关节置换术中直接前路与沃森-琼斯入路术后并发症:1408例患者配对分析结果
BMC Musculoskelet Disord. 2019 Feb 14;20(1):77. doi: 10.1186/s12891-019-2463-x.
2
Pleomorphic clinical spectrum of metallosis in total hip arthroplasty.全髋关节置换术后金属病的多形性临床表现。
Int Orthop. 2019 Jan;43(1):85-96. doi: 10.1007/s00264-018-4176-4. Epub 2018 Sep 29.
3
Usefulness of Culturing the Periprosthetic Membrane or Neosynovium for the Diagnosis of Infection During Hip and Knee Revision Arthroplasty.
Unfallchirurgie (Heidelb). 2023 Aug;126(8):657-661. doi: 10.1007/s00113-022-01219-3. Epub 2022 Aug 9.
髋关节和膝关节翻修术中培养假体周围膜或新滑膜在感染诊断中的作用。
J Am Acad Orthop Surg. 2018 Oct 15;26(20):e442-e447. doi: 10.5435/JAAOS-D-16-00583.
4
[Medial fracture of the femoral neck with enclosed Küntscher nail].[股骨颈内侧骨折伴封闭式 Küntscher 钉]
Unfallchirurg. 2017 Dec;120(12):1086-1089. doi: 10.1007/s00113-017-0427-x.
5
A Technical Note for Extracting an Incarcerated Femoral Kuntscher Nail.取出嵌顿股骨髓内钉的技术说明
J Orthop Case Rep. 2016 Jul-Aug;6(3):10-12. doi: 10.13107/jocr.2250-0685.476.
6
Primary total hip arthroplasty with a retained intramedullary femoral nail.保留髓内股骨钉的初次全髋关节置换术。
Acta Orthop Belg. 2013 Feb;79(1):114-6.
7
A technique for extracting a buried Kuntscher nail from the femur during total hip arthroplasty.一种在全髋关节置换术中从股骨取出埋入式克氏针的技术。
Hip Int. 2010 Apr-Jun;20(2):292-5. doi: 10.1177/112070001002000227.
8
An innovative technique to cut and extract loose bent Kuntscher nail.
Indian J Med Sci. 2004 Oct;58(10):439-41.
9
Difficulty in removal of certain intramedullary nails.某些髓内钉取出困难。
Clin Orthop Relat Res. 1997 Jul(340):202-6. doi: 10.1097/00003086-199707000-00026.