International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD.
Department of Orthopedics, King Faisal Specialist Hospital & Research Center, Riyadh, Kingdom of Saudi Arabia.
JBJS Case Connect. 2021 Dec 22;11(4):01709767-202112000-00082. doi: e21.00464.
We report a 15-year-old female patient who underwent femur lengthening with a stainless steel intramedullary lengthening Stryde nail that broke at the end of the lengthening course and required removal. Given the solid noncannulated nature of the nail, this required special strategy to remove broken parts.
Stryde nails are stainless steel lengthening nails that were developed to allow more freedom with weight bearing. Regardless of this change, hardware failure remains possible. In addition to maintaining regenerate integrity, a surgeon must be creative when attempting to remove solid nail types because many techniques for removing failed hardware were developed for cannulated devices.
我们报告了一例 15 岁女性患者,她接受了股骨延长术,使用不锈钢髓内延长 Stryde 钉,但在延长过程结束时该钉断裂,需要取出。由于钉是实心非空心的,因此需要特殊的策略来取出断裂的部分。
Stryde 钉是一种不锈钢延长钉,旨在允许在负重时更自由。尽管有这种变化,但硬件故障仍有可能发生。除了保持再生完整性外,当试图取出实心钉类型时,外科医生必须具有创造性,因为许多用于取出失败硬件的技术都是为空心器械开发的。