查詢結果分析
相關文獻
- Intraoperative Femoral Shaft Fracture during Removal of a ZMS Femoral Intramedullary Nail--A Case Report
- Primary Reamed Intramedullary Nailing of Closed Femoral Shaft Fractures
- Treatment of an Open Femoral Shaft Fracture
- Operative Treatment of Displaced Stress Fracture of the Distal Femur
- Closed Interlocking Nailing for Treatment of Segmental Fractures of the Femoral Diaphysis
- 同側股骨幹合併股骨頸骨折之治療
- Periprosthetic Femoral Shaft Fracture in the Using Dall-Miles Cable and Plating System: 2 Years' Experience with 14 Cases
- DCP Fixation and Autogenous Bone Graft to Treat Nonunion of Femoral Shaft Fracture
- Treatment of Ipsilateral Femoral Neck and Shaft Fractures
- 人工髖關節置換手術後發生同側股骨幹骨折治療之臨床經驗
頁籤選單縮合
題名 | Intraoperative Femoral Shaft Fracture during Removal of a ZMS Femoral Intramedullary Nail--A Case Report=移除股骨幹癒合後之ZMS骨髓內釘發生之立即性再骨折:案例報告 |
---|---|
作者 | 許承恩; 黃揆洲; | 書刊名 | Journal of Orthopaedic Surgery Taiwan |
卷期 | 27:2 2010.06[民99.06] |
頁次 | 頁97-100 |
分類號 | 416.26 |
關鍵詞 | ZMS骨髓內釘; 股骨幹; 骨折; Femoral shaft fracture; Removal of ZMS intramedullary nail; |
語文 | 英文(English) |
英文摘要 | Removing femoral intramedullary nail for a healed femur fracture is regarded as a low-risk procedure with little publications about its complications. We reported a case of a femoral shaft fracture which occurred while we were trying to remove the ZMS Femoral intramedullary nail from a healed femoral shaft fracture. A 32 year-old woman with a healed right femoral shaft fracture asked for ZMS intramedullary nail removal. When we attempted to extract the nail 8 years after insertion, incarceration of distal end at the healed fracture level was encountered. Forceful extraction of the nail caused fracture of the femoral shaft near the old fracture site. The specific design of ZMS First generation nail includes four flutes on the nail shaft for enhancement of fixation stability. However those flutes did not continue down the entire length of the nail, which makes the distal end relatively bulky. When the distal bulky end encountered the fracture site during nail extraction, the endosteal bone incarcerated into the flutes cause difficulty in nail extraction and possible femoral shaft fracture. Orthopaedic surgeons should be aware of the possibility of an incarcerated nail when attempt to remove this design of nail and should inform the patient for the possibility of this complication preoperatively. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。