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股骨近端髓内钉固定时取出折断的髓内扩孔钻头部的技术要点。

Technical tip for removal of broken cephalomedullary reamer tip in cases of proximal femoral nailing.

作者信息

Kumar Arvind, Jain Aditya, Saurabh Suman, Trikha Vivek, Mittal Samarth

机构信息

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.

出版信息

J Clin Orthop Trauma. 2019 Sep-Oct;10(5):969-971. doi: 10.1016/j.jcot.2019.01.014. Epub 2019 Jan 15.

Abstract

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.

摘要

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。

相似文献

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Removal of the broken femoral nail with T-reamer technique: A three-case report.采用T型扩孔钻技术取出折断的股骨钉:三例报告
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):22-26. doi: 10.1016/j.jcot.2016.10.009. Epub 2016 Nov 3.

本文引用的文献

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The rate of instrument breakage during orthopaedic procedures.骨科手术中器械破损的发生率。
Int Orthop. 2002;26(3):185-7. doi: 10.1007/s00264-002-0344-6. Epub 2002 Mar 26.

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