在已愈合的转子间骨折取出长伽马钉后发生同侧股骨颈骨折这一罕见并发症。
A rare complication of ipsilateral femoral neck fracture after removal of the long Gamma nail in a healed intertrochanteric fracture.
作者信息
Huang Chin-Kai, Hong Chih-Kai, Su Wei-Ren, Huang Yi-Hung, Chao Lin-Yu
机构信息
Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Orthopaedic Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
出版信息
Tzu Chi Med J. 2019 Jan 15;32(1):88-90. doi: 10.4103/tcmj.tcmj_188_18. eCollection 2020 Jan-Mar.
Ipsilateral femoral neck fracture after hardware removal in healed trochanteric fracture is a rare complication. We reported a case of a 79-year-old woman who had undergone open reduction and internal fixation for her left intertrochanteric fracture with a long Gamma nail about 1 year ago. She asked for implants removal due to local irritation. However, 5 days after implants removal, left subcapital femoral neck fracture occurred. Removal of implants under elective indications could lead to high complication rate. Orthopedic surgeons should perform the removal of hardware in healed intertrochanteric fracture for very selected cases.
愈合的转子间骨折取出内固定物后发生同侧股骨颈骨折是一种罕见的并发症。我们报告了一例79岁女性病例，她大约1年前因左转子间骨折接受了切开复位并用长伽马钉内固定治疗。她因局部刺激要求取出内固定物。然而，取出内固定物5天后，发生了左股骨颈头下型骨折。择期取出内固定物可能导致高并发症发生率。骨科医生应仅在非常特定的病例中对愈合的转子间骨折进行内固定物取出操作。
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