Papachristos I V, Dalal R B
Stepping Hill Hospital, Stockport NHS Foundation Trust , Stockport , UK.
University of Manchester , Manchester , UK.
Ann R Coll Surg Engl. 2019 May;101(5):374-375. doi: 10.1308/rcsann.2019.0035. Epub 2019 Mar 11.
Hindfoot intramedullary devices are increasingly used in tibiotalocalcaneal arthrodesis after failed total ankle arthroplasty or as a salvage procedure after complex trauma. Nail breakage is a well-described complication and numerous techniques for removal of broken parts can be found in the literature, especially for femoral and tibial nails. There is a relative paucity regarding techniques solving the challenge of removing a broken hindfoot intramedullary nail. We describe a novel technique using a curved thin hook from the Moreland hip revision set to remove the distal part of a broken tibiotalocalcaneal intramedullary nail.
后足髓内固定装置在全踝关节置换失败后的胫距跟关节融合术中或作为复杂创伤后的挽救手术中使用得越来越多。髓内钉断裂是一种广为人知的并发症，文献中可以找到许多取出断裂部件的技术，尤其是针对股骨和胫骨髓内钉的技术。在解决取出断裂的后足髓内钉这一挑战的技术方面，相关内容相对较少。我们描述了一种新技术，使用来自莫兰德髋关节翻修套件的弯曲细钩来取出断裂的胫距跟髓内钉的远端部分。
