Jlidi Mohamed, Bouaicha Walid, Daas Selim
Orthopedics and Traumatology Department, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Trauma Case Rep. 2023 Aug 14;48:100909. doi: 10.1016/j.tcr.2023.100909. eCollection 2023 Dec.
Intramedullary nailing has become the gold standard in surgical treatment for long bones shaft fractures. Many intraoperative complications may occur. We report an unusual complication of trapped bone fragments between the reamer and the cortex during intramedullary nailing of a simple femur shaft fracture. All Attempts to withdraw the reamer were unsuccessful. The fragments had to be removed through an open incision. This complication was probably caused by a migrated chip of cortical bone fragment from the inner cortex which caused incarceration of the reamer. If a loose intramedullary fragment is noted during nailing, it must absolutely not be ignored.
髓内钉固定已成为长骨干骨折手术治疗的金标准。术中可能会出现许多并发症。我们报告了一例单纯股骨干骨折髓内钉固定过程中，扩孔钻与皮质骨之间出现骨块嵌塞的罕见并发症。所有试图取出扩孔钻的尝试均未成功。必须通过切开手术取出骨块。这种并发症可能是由于皮质骨碎片从内侧皮质移位，导致扩孔钻嵌顿所致。如果在髓内钉固定过程中发现有游离的髓内骨块，绝对不能忽视。
