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在营养不良性大疱性表皮松解症背景下使用南希钉治疗股骨干骨折:一例报告

Management of a Femur Shaft Fracture With Nancy Nail in the Setting of Dystrophic Epidermolysis Bullosa: A Case Report.

作者信息

Tarabishi Mohammed M, Almonaie Shahd, Mohamed Mohamed Taha A, Mousa Weam F

机构信息

Department of Orthopedic Surgery, King Fahad Medical City, Riyadh, SAU.

Department of Orthopaedic Surgery, Alfaisal University College of Medicine, Riyadh, SAU.

出版信息

Cureus. 2022 Jan 12;14(1):e21185. doi: 10.7759/cureus.21185. eCollection 2022 Jan.

Abstract

Management of bone fractures must achieve both reduction and stability. However, dermatological conditions such as dystrophic epidermolysis bullosa can lead to catastrophic events when operating on the patient's bone fracture, possibly leading to wound infections and fracture nonunion. Here, we report the case of a 20-year-old female with dystrophic epidermolysis bullosa who had suffered from a femur fracture after a fall from the bed. The fracture management was challenging due to the severe condition; however, the use of the Nancy nail was efficient. Due to the rarity of the disease, modifications due to the challenges faced during the patient care approach were accomplished to prevent any harm to the patient. Even though the management was challenging, the outcome was good.

摘要

骨折的治疗必须实现复位和稳定。然而,诸如营养不良性大疱性表皮松解症等皮肤病状况,在对患者的骨折进行手术时可能导致灾难性事件,可能会引发伤口感染和骨折不愈合。在此,我们报告一例20岁患有营养不良性大疱性表皮松解症的女性病例,该患者从床上跌落致股骨骨折。由于病情严重,骨折治疗颇具挑战性;然而,使用南希钉是有效的。由于该疾病罕见,针对患者护理过程中所面临的挑战进行了调整,以防止对患者造成任何伤害。尽管治疗颇具挑战性,但结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b997/8837814/e4751d402bef/cureus-0014-00000021185-i01.jpg

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