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股骨转子钉内旋放置导致的外翻畸形排列，伴股骨干节段性骨折固定中的旋转畸形排列，一种被低估的可避免的技术错误：病例报告

Valgus Malalignment Due to Internally Malrotated Trochanteric Nail Placement, with Rotational Malalignment in Femoral Shaft Segmental Fracture Fixation, an Underestimated Avoidable Technical Error: A Case Report.

作者信息

Hwang P X, Anuwar N A, Khaw Y C, Hadizie D

机构信息

Department of Orthopaedics, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

出版信息

Malays Orthop J. 2020 Mar;14(1):74-77. doi: 10.5704/MOJ.2003.011.

DOI:10.5704/MOJ.2003.011
PMID:32296485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7156185/
Abstract

Coronal malalignment due to malrotated trochanteric nail placement in femoral fracture fixation has never been reported. We present a case of a femoral segmental fracture fixed with a trochanteric nail, with a malrotated placement resulting in a valgus malaligned nail and femur, associated with a rotational malalignment. Knowledge of the modern nail design with proper intra-operative precautions, would avoid this underestimated technical error.

摘要

股骨骨折固定中转子钉放置旋转不良导致的冠状面排列不齐从未有过报道。我们报告一例用转子钉固定的股骨干骨折病例，其放置旋转不良导致钉子和股骨外翻排列不齐，并伴有旋转排列不齐。了解现代钉子设计并采取适当的术中预防措施，可避免这种被低估的技术错误。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13c/7156185/84420e3dcf40/moj-14-074-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13c/7156185/d121224b5c5d/moj-14-074-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13c/7156185/869d9159f728/moj-14-074-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13c/7156185/84420e3dcf40/moj-14-074-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13c/7156185/d121224b5c5d/moj-14-074-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13c/7156185/869d9159f728/moj-14-074-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e13c/7156185/84420e3dcf40/moj-14-074-f3.jpg

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本文引用的文献

1
Subtrochanteric femoral fracture during trochanteric nailing for the treatment of femoral shaft fracture.转子下股骨骨折在转子间钉治疗股骨干骨折时发生。
Clin Orthop Surg. 2013 Sep;5(3):230-4. doi: 10.4055/cios.2013.5.3.230. Epub 2013 Aug 20.
2
Subtrochanteric femur fractures.股骨转子下骨折。
Orthop Clin North Am. 2002 Jan;33(1):113-26, viii. doi: 10.1016/s0030-5898(03)00075-0.
3
Angular malalignment after intramedullary nailing of femoral shaft fractures.股骨干骨折髓内钉固定术后的角向畸形
J Orthop Trauma. 2001 Feb;15(2):90-5. doi: 10.1097/00005131-200102000-00003.
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Malalignment and degenerative arthropathy.排列不齐与退行性关节病。
Orthop Clin North Am. 1994 Jul;25(3):367-77.