271枚骨延长钉（FITBONE、PRECICE和STRYDE）择期取出的并发症
Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE).
作者信息
Frost Markus W, Kold Søren, Rahbek Ole, Bafor Anirejuoritse, Duncan Molly, Iobst Christopher A
机构信息
Department of Orthopedic Surgery, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Department of Orthopedic Surgery, Center for Limb Lengthening and Reconstruction, Nationwide Children's Hospital, Columbus, Ohio, United States of America.
出版信息
Strategies Trauma Limb Reconstr. 2021 May-Aug;16(2):110-115. doi: 10.5005/jp-journals-10080-1529.
BACKGROUND
Intramedullary lengthening nails have shown excellent short-term results. The FITBONE and the PRECICE nail are the two most commonly used intramedullary lengthening nails. The manufacturer of each nail recommends the removal of the implant after the completion of the treatment. Despite the need for removal of each nail, the authors are not aware of any prior publications documenting the results of standard intramedullary lengthening nail removal. Therefore, the aim of this study was to examine the intraoperative and postoperative complications of elective intramedullary lengthening nail removals.
MATERIALS AND METHODS
We performed a retrospective chart review of patients operated with intramedullary lengthening nails at two limb reconstruction centres (one in the United States, and the second in Denmark). Data retrieved from the patient charts included patient demographics, nail information and any complications occurring at or after nail removal. Only lower limb lengthening with FITBONE and PRECICE or STRYDE nails that had an elective nail removal was included.
RESULT
A total of 271 elective nail removals were included in the study. Complications occurred during 3% of the nail removals and in 13% after nail removal. There were 18 reported cases with postoperative knee pain. All these patients had nail removal through the knee joint, representing 8% of the retrograde femur nail removals and 7% of the tibia nail removals. Four postoperative fractures occurred, of which two needed surgery. Eleven percent of femur removals and 26% of tibial removals sustained a complication.
CONCLUSION AND CLINICAL SIGNIFICANCE
This study emphasises the importance of adequate follow-up of the bone lengthening patient even after the nail has been removed. It also shows that the recommended removal of the intramedullary nail (IMN) lengthening nails must be included in studies reporting on the overall risks of complications using bone lengthening nails.
HOW TO CITE THIS ARTICLE
Frost MW, Kold S, Rahbek O, . Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE). Strategies Trauma Limb Reconstr 2021;16(2):110-115.
背景
髓内延长钉已显示出优异的短期效果。FITBONE和PRECICE钉是两种最常用的髓内延长钉。每种钉子的制造商都建议在治疗完成后取出植入物。尽管需要取出每种钉子，但作者并不知晓之前有任何文献记录标准髓内延长钉取出的结果。因此，本研究的目的是探讨择期髓内延长钉取出的术中及术后并发症。
材料与方法
我们对两个肢体重建中心（一个在美国，另一个在丹麦）接受髓内延长钉手术的患者进行了回顾性病历审查。从患者病历中检索到的数据包括患者人口统计学信息、钉子信息以及取出钉子时或之后发生的任何并发症。仅纳入使用FITBONE、PRECICE或STRYDE钉进行下肢延长且进行了择期钉子取出的病例。
结果
本研究共纳入271例择期钉子取出病例。3%的钉子取出过程中出现并发症，13%在取出后出现并发症。报告有18例术后膝关节疼痛病例。所有这些患者均通过膝关节取出钉子，占逆行股骨钉取出病例的8%，胫骨钉取出病例的7%。发生了4例术后骨折，其中2例需要手术治疗。股骨取出病例中有11%、胫骨取出病例中有26%出现并发症。
结论及临床意义
本研究强调了即使在钉子取出后，对骨延长患者进行充分随访的重要性。它还表明，在报告使用骨延长钉的总体并发症风险的研究中，必须纳入推荐的髓内钉（IMN）延长钉取出情况。
如何引用本文
Frost MW, Kold S, Rahbek O, 。271枚骨延长钉（FITBONE、PRECICE和STRYDE）择期取出的并发症。《创伤肢体重建策略》2021；16(2):110 - 115。
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