Willems Siem A, Greeven Alexander P A
Department of Surgery, Haga Teaching Hospital, The Hague, Netherlands.
J Trauma Inj. 2023 Mar;36(1):65-69. doi: 10.20408/jti.2022.0002. Epub 2022 Jun 17.
The surgical approach for humeral implant failure can be challenging due to neurovascular anatomy and the possible necessity of osteosynthesis removal. We present a rare case of humeral nail bending after secondary trauma in a patient with preexistent nonunion of the humerus after intramedullary nailing. During revision surgery, the nail was sawed in half and the distal part was removed, followed by plate osteosynthesis with cable fixation to achieve absolute stability. The patient regained a full range of motion 1 year after surgery, and complete healing of the fracture was seen on imaging.
由于神经血管解剖结构以及可能需要去除骨固定，肱骨植入物失败的手术入路可能具有挑战性。我们报告了一例罕见病例，一名患者在髓内钉固定后肱骨已存在骨不连，继发外伤后肱骨钉发生弯曲。在翻修手术中，将钉子锯成两半并取出远端部分，随后采用钢板骨固定并辅以缆线固定以实现绝对稳定。患者术后1年恢复了全范围活动，影像学检查显示骨折完全愈合。
