双侧非典型股骨骨折伴严重弯曲畸形采用弹性髓内钉治疗：病例报告。
Bilateral Incomplete Atypical Femur Fractures with Severe Bowing Treated Using Elastic Intramedullary Nails: A Case Report.
机构信息
Department of Orthopaedic Surgery, North Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto Japan.
出版信息
JBJS Case Connect. 2022 Jun 8;12(2). doi: e22.00191. eCollection 2022 Apr 1.
CASE
A 77-year-old woman with bilateral symptomatic atypical femoral fractures (AFFs) and severe anterolateral bowing due to long-term bisphosphonate administration was treated using stainless elastic intramedullary nails. Weight-bearing pain disappeared immediately after surgery. Radiographs obtained 1 year postoperatively showed fracture healing.
CONCLUSION
Although intramedullary nail insertion has been recommended for symptomatic incomplete AFFs, in cases of severe bowing, rigid nail insertion was often challenging, and the complication rates were higher than those with mild bowing. The advantage of our method is easy insertion, suggesting effective treatment.
病例
一名 77 岁女性，因长期使用双膦酸盐而出现双侧症状性非典型股骨骨折（AFF）和严重前外侧弯曲，采用不锈钢弹性髓内钉治疗。术后立即消失负重疼痛。术后 1 年 X 线片显示骨折愈合。
结论
虽然髓内钉插入已被推荐用于治疗有症状的不完全 AFF，但在严重弯曲的情况下，刚性钉插入往往具有挑战性，且并发症发生率高于轻度弯曲。我们的方法优势在于易于插入，提示有效治疗。
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