Bouaicha Walid, Jlidi Mohamed, Sioud Amine, Mallek Karim, Nouicer Saffet, Jaziri Salma, Achref Abdennadher, Daas Selim
Department of Orthopedics and Traumatology, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia.
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
SAGE Open Med Case Rep. 2024 Jan 9;12:2050313X231225338. doi: 10.1177/2050313X231225338. eCollection 2024.
Intramedullary nailing is the gold standard for long bone fractures in the lower limbs. Fractures of the tibia with bending of the intramedullary nail is a very uncommon complication. Removing a bent nail is an unpredictable and challenging procedure for any trauma surgeon. We report the case of a 34-year-old man presenting a refractured tibia with a bent intramedullary nail following a motor vehicle accident. We describe the management of this patient as well as a substantial review of the literature to depict the peculiarities of this entity compared to its more commonly reported femoral counterpart. When approaching a deformed tibia nail, standard extraction techniques should be attempted and are more likely to be successful than in deformed femoral nails.
髓内钉固定是下肢长骨骨折的金标准。髓内钉弯曲的胫骨骨折是一种非常罕见的并发症。对于任何创伤外科医生来说，取出弯曲的髓内钉都是一个不可预测且具有挑战性的手术。我们报告了一例34岁男性的病例，该患者在机动车事故后出现胫骨骨折伴髓内钉弯曲。我们描述了该患者的治疗情况，并对文献进行了大量综述，以描述该病例与更常见的股骨对应病例相比的特殊性。在处理变形的胫骨钉时，应尝试标准的取出技术，并且比处理变形的股骨钉更有可能成功。
