School of Medicine, University of California Riverside, Riverside, California.
Department of Orthopaedics, Riverside Community Hospital, Riverside, California.
JBJS Case Connect. 2023 Aug 17;13(3). doi: 10.2106/JBJS.CC.23.00186. eCollection 2023 Jul 1.
An 18-year-old male patient presented with a closed fracture of the left tibia and fibula and a bent intramedullary nail after a repeat motorcycle accident. The patient was 5 weeks postoperative from intramedullary nailing of a closed left tibia fracture. The site of angulation of the tibial nail was noted to be more proximal than the fracture site. Partial sectioning of the nail through an osteotomy permitted the removal of the nail and revision tibial nailing.
This is the first reported use of an osteotomy and partial sectioning during the extraction of a bent tibial intramedullary nail.
一名 18 岁男性患者因重复摩托车事故导致左胫骨和腓骨闭合性骨折和弯曲的髓内钉。患者在接受左胫骨闭合性骨折髓内钉手术后 5 周。胫骨钉的弯曲部位比骨折部位更靠近近端。通过截骨术对钉进行部分截断，可取出钉并重新进行胫骨钉固定。
这是首例报道的在取出弯曲的胫骨髓内钉时使用截骨术和部分截断的方法。
