Lohiya Ashutosh, Dhaniwala Nareshkumar, Goyal Saksham, Patel Hardik
Department of Orthopedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 2;16(7):e63653. doi: 10.7759/cureus.63653. eCollection 2024 Jul.
Vertical osteotomy is a procedure occasionally used for the removal of intramedullary nails when the nail has become jammed, either due to expansion after initial fixation or the formation of a new bone around the nail. Implant removal of any type is usually performed when it is either recommended by the doctor or in response to the complaints of the patients, like sensations of pain, disorder, and infection associated with the potential complications of the given implant. There are different types of cases, which range from a simple procedure of K-wire removal or more complex procedures like intramedullary nail or plate removal. During the removal of implants, certain unforeseen complications can occur such as excessive bleeding, neurovascular deficit, and some other issues related to implants like breakage of screws or implants while removing it, which might lead to its inability to be removed. We present here a technique of vertical osteotomy that was used for the removal of implants in cases of long-term implant retention, which leads to difficulty in removing it.
垂直截骨术是一种偶尔用于取出髓内钉的手术，当髓内钉因初始固定后膨胀或钉子周围形成新骨而卡住时使用。任何类型的植入物取出通常在医生建议或应患者主诉时进行，例如与特定植入物潜在并发症相关的疼痛、不适和感染感觉。存在不同类型的病例，范围从简单的克氏针取出手术到更复杂的手术，如髓内钉或钢板取出。在植入物取出过程中，可能会出现某些不可预见的并发症，如出血过多、神经血管缺损以及与植入物相关的其他问题，如取出时螺钉或植入物断裂，这可能导致无法取出。我们在此介绍一种垂直截骨术技术，该技术用于长期植入物留存导致取出困难的病例中取出植入物。
