定制动力髋螺钉治疗股骨颈骨不连外翻截骨一例

Q4 Medicine

Trauma Case Reports Pub Date : 2024-12-01 DOI:10.1016/j.tcr.2024.101119

Posatorn Suwanpongsai, Kongkhet Riansuwan

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引用次数: 0

摘要

我们报告的治疗股骨颈骨不连在一个成年女性谁有显著的股骨颈解剖。最初的骨折采用闭合复位和多枚螺钉结合销固定治疗。最终，种植体松动的骨不连在10个月后出现。因此，我们决定采用转子外翻截骨和动力髋螺钉固定来治疗骨不连。由于种植体与解剖结构不匹配，定制的拉力螺钉被设计为折衷特殊解剖结构和普通侧板。种植体使用计算机数控（CNC）机器制造。最后，骨不连和截骨部位完全愈合，无并发症。

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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A customized dynamic hip screw for valgus osteotomy in femoral neck nonunion with remarkable anatomy: A case report

We report the treatment of femoral neck nonunion in an adult female who has remarkable femoral neck anatomy. The initial fracture was treated by closed reduction and multiple screws incorporated pin fixation. Eventually, nonunion with implant loosening developed after about 10 following months. Therefore, trochanteric valgus osteotomy and dynamic hip screw fixation was determined to treat the nonunion. As a result of implant-anatomy mismatching, the customized lag screw was designed to compromise both of the particular anatomy and the ordinary side plate. The implant was manufactured using a Computer Numerical Control (CNC) machine. Finally, the nonunion and osteotomy site completely healed without complication.

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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.