Kumar Arvind, Jain Aditya, Saurabh Suman, Trikha Vivek, Mittal Samarth
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
J Clin Orthop Trauma. 2019 Sep-Oct;10(5):969-971. doi: 10.1016/j.jcot.2019.01.014. Epub 2019 Jan 15.
Instrumentation breakage around hip joint can pose a challenging situation considering its vicinity to several vital structures. Broken fragments carry the risk of migration and thus should be removed as early as possible. A case of successful retrieval of broken tip of cephalomedullary lag screw reamer of a cephalomedullary nail, in basicervical region of femoral neck, during fixation of a subtrochanteric femoral fracture has been reported. Literature review has been done to suggest techniques to tackle similar situations using simple and commonly available instruments.
考虑到髋关节周围靠近多个重要结构,器械断裂可能会带来具有挑战性的情况。断裂的碎片有移位的风险,因此应尽早取出。本文报道了1例在股骨转子下骨折固定过程中,成功取出位于股骨颈基底部区域的髓内钉的头颈髓内拉力螺钉扩孔钻断裂尖端的病例。已进行文献综述,以提出使用简单且常用器械处理类似情况的技术。