取出 Kuntscher 钉：对植入Kuntscher钉的失败髋关节置换术进行翻修。通过定制器械智能拔钉技术的病例报告

Q4 Medicine

Trauma Case Reports Pub Date : 2024-04-08 DOI:10.1016/j.tcr.2024.101030

Filippo Randelli , Lorenzo Banci , Ornella Visentin , Danilo Di Via , Alberto Fioruzzi

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引用次数: 0

摘要

取出滞留的骨结合股骨髓内钉是一个相当大的问题，尤其是在当代全髋关节置换术中，或者更糟糕的是在翻修髋关节置换术中。通常情况下，需要采用复杂的侵入性手术技术才能取出嵌顿的 Kuntscher 钉。我们描述了一例在金属髋关节置换术失败后等待进行翻修全髋关节置换术的 75 岁女性体内嵌顿的 Kuntscher 钉的病例，该钉子是在 39 年前植入的。我们设计并成功使用了一种基于 CT 的定制超长取钉器，轻松拔出了钉子，并在翻修髋关节置换术前保留了股骨近端。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Kuntscher nail removal: Revision of a failed hip resurfacing above an incarcerated Kuntscher nail. A case report of a smart nail extraction technique through a custom-made instrumentation

Removal of a retained and osseointegrated intramedullary femoral nail can represent a considerable problem, especially in the case of contemporary total hip arthroplasty or, even worse, in the case of revision hip arthroplasty. Usually, complex and invasive surgical techniques are required to remove incarcerated Kuntscher nails. We described a case of an incarcerated Kuntscher nail, inserted 39 years before, in a 75-year-old woman waiting for a revision total hip arthroplasty of a failed metal-on-metal hip resurfacing. A CT-based custom-made extra-long trephine reamer was designed and successfully used to easily extract the nail, leaving the proximal femur before a revision hip arthroplasty.

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.