Onizuka Naoko, Douglass Brenton, Swiontkowski Marc
Department of Orthopedic Surgery University of Minnesota, Minneapolis, Minnesota, USA.
TRIA Orthopedics, Bloomington, Minnesota, USA.
Case Rep Orthop. 2024 Oct 3;2024:5603392. doi: 10.1155/2024/5603392. eCollection 2024.
This paper presents a surgical technique for the removal of an old universal femoral nail preceding total hip arthroplasty (THA) in a 50-year-old male patient with left hip osteoarthritis. The patient had undergone femur nail insertion approximately 35 years ago. Due to the necessity of nail removal prior to THA, surgery to remove the nail was planned. There are challenges posed by the design of the old universal femoral nail system, particularly its side slot which made engagement of the conical bolt difficult. The successful removal of the nail was eventually achieved, enabling subsequent THA. Individuals who received this old implant years ago may now require its removal as part of osteoarthritis treatment. Given the lack of familiarity among surgeons with this outdated implant, this paper is aimed at providing essential guidance and insights regarding its removal procedure. This literature represents the inaugural documentation of the surgical technique for the removal of an aged femur nail.
本文介绍了一种在一名50岁左髋骨关节炎男性患者行全髋关节置换术（THA）前取出陈旧性通用股骨钉的手术技术。该患者约35年前曾行股骨钉植入术。由于在THA前需要取出钉子，因此计划进行取钉手术。陈旧性通用股骨钉系统的设计带来了一些挑战，尤其是其侧槽使得锥形螺栓难以接合。最终成功取出了钉子，得以进行后续的THA。多年前接受这种旧植入物的患者现在可能需要将其取出作为骨关节炎治疗的一部分。鉴于外科医生对这种过时的植入物缺乏了解，本文旨在提供有关其取出 procedure的基本指导和见解。该文献是关于取出陈旧性股骨钉手术技术的首次记录。
