断入髓内导丝：现在该怎么办？
Broken guidewire intramedullary: what to do now?
机构信息
Aberdeen Royal Infirmary, Foresterhill Health Campus, Aberdeen, UK.
出版信息
Ann R Coll Surg Engl. 2021 Feb;103(2):e56-e58. doi: 10.1308/rcsann.2020.7004.
Abstract
Instrument breakage during orthopaedic procedures is relatively uncommon, but it remains a challenging problem to orthopaedic surgeons. We report a case of a broken guidewire during intramedullary nail fixation of a proximal femur fracture with subtrochanteric extension. We also report a simple yet effective technique for removal of a broken guidewire from the medulla of the proximal femur without causing much iatrogenic trauma.
摘要
在骨科手术过程中，器械断裂相对较少见，但它仍然是骨科医生面临的一个挑战。我们报告了一例在股骨近端骨折伴转子下延伸的髓内钉固定过程中导丝断裂的病例。我们还报告了一种简单而有效的技术，可将断裂的导丝从股骨近端髓腔中取出，而不会造成太大的医源性创伤。
相似文献
1
Broken guidewire intramedullary: what to do now?
Ann R Coll Surg Engl. 2021 Feb;103(2):e56-e58. doi: 10.1308/rcsann.2020.7004.
2
Novel Method for Removal of Broken Intramedullary Interlocking Nail with a Subtrochanteric Fracture: A Case Report.
JBJS Case Connect. 2019 Dec;9(4):e0182. doi: 10.2106/JBJS.CC.19.00182.
3
A technique for extraction of the distal segment of a broken femoral nail using a flexible reamer.
Injury. 2017 Aug;48(8):1858-1860. doi: 10.1016/j.injury.2017.06.010. Epub 2017 Jun 16.
4
Extraction of the broken intramedullary femoral nail--an innovative technique.
Injury. 2004 Dec;35(12):1322-3. doi: 10.1016/S0020-1383(03)00314-0.
5
Removal of broken long gamma nail: a modified guide wires technique.
J Trauma. 2008 Feb;64(2):517-9. doi: 10.1097/TA.0b013e3181469e0f.
6
Exchange femoral nailing: a new technique for removal of a broken nail.
Am J Orthop (Belle Mead NJ). 2007 Sep;36(9):500-2.
7
Removal of a broken trigen intertan intertrochanteric antegrade nail.
Injury. 2017 Feb;48(2):557-559. doi: 10.1016/j.injury.2016.12.014. Epub 2016 Dec 23.
8
A blocking-wire technique for removal of a broken hollow intramedullary nail.
Injury. 2016 Jul;47(7):1601-3. doi: 10.1016/j.injury.2016.04.039. Epub 2016 Apr 27.
9
A novel method for the removal of distal part of broken intramedullary femoral nail.
Acta Orthop Traumatol Turc. 2014;48(2):223-5. doi: 10.3944/AOTT.2014.3111.
10
Removal of a broken cannulated tibial nail: a simple intramedullary technique.
J Orthop Trauma. 2004 Apr;18(4):247-9. doi: 10.1097/00005131-200404000-00011.
引用本文的文献
1
Retrieval of broken intra-medullary guide wire in femoral shaft fracture: A case report and surgical technique.
Trauma Case Rep. 2023 Jun 4;46:100865. doi: 10.1016/j.tcr.2023.100865. eCollection 2023 Aug.
本文引用的文献
1
Intrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture.
Arch Bone Jt Surg. 2017 Jan;5(1):63-65.
2
Retrieval of a broken guide wire transfixing the hip through the proximal femoral nail hole.
Chin J Traumatol. 2014;17(1):50-3.
3
4
Broken guidewire protruding into the hip joint: A bone endoscopic-assisted retrieval method.
Indian J Orthop. 2012 Jan;46(1):109-12. doi: 10.4103/0019-5413.91646.
5
Frequency of instrument breakage during orthopaedic procedures and its effects on patients.
J Bone Joint Surg Am. 2008 Dec;90(12):2652-4. doi: 10.2106/JBJS.H.00163.
6
Intrapelvic protrusion of guide wire during fixation of fracture neck of femur.
Injury. 2002 Nov;33(9):839-41. doi: 10.1016/s0020-1383(02)00172-9.
7
The rate of instrument breakage during orthopaedic procedures.
Int Orthop. 2002;26(3):185-7. doi: 10.1007/s00264-002-0344-6. Epub 2002 Mar 26.
Zotero 插件