在联合钉中取出“冷焊”股骨头螺钉。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

BMJ Case Reports Pub Date : 2025-03-25 DOI:10.1136/bcr-2024-264090

Ryan J Campbell, Michael Symes, Brahman Sivakumar, Zac Dragan, Stephen Ruff, Andrew Ellis

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引用次数: 0

摘要

我们报告一例20多岁女性股骨粗隆下截骨不愈合的交换股骨钉手术中股骨头牵引螺钉“冷焊接”到髓内钉（IMN）。我们随后开发了一种反向螺旋槽螺栓提取插座，设计用于接合螺栓或螺钉的外壁。1周后，从Smith and Nephew Meta-Tan IMN中取出螺钉，成功完成交换钉固定。本病例报告描述了在复杂翻修中使用冷焊股骨头拉力螺钉的技术挑战情况。本文介绍了一种用于此类病例的新型拔除装置和技术。

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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Removal of a 'cold-welded' femoral head lag screw in a nail combination.

We present a case of a femoral head lag screw 'cold welded' to an intramedullary nail (IMN) in a female in her 20s during exchange femoral nailing of a subtrochanteric femoral osteotomy non-union. We subsequently developed a reverse spiral-fluted bolt extraction socket, designed to engage the outer wall of a bolt or screw. The lag screw was removed from the Smith and Nephew Meta-Tan IMN, 1 week later, and exchange nailing was successfully completed. This case report describes a technically challenging situation of a cold-welded femoral head lag screw during a complex revision. This report introduces a novel removal device and technique for such cases.

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来源期刊

BMJ Case Reports Medicine-Medicine (all)

CiteScore

1.40

自引率

0.00%

发文量

1588

期刊介绍： BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.