Intramedullary nailing of femoral shaft fractures -

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Intramedullary nailing of femoral shaft fractures pintail report of 4 cases of complications

4 who have come down. Are as follows. Down 1, M, 42 years old, 1 year trapped in the femur in 1 / 3 and intertrochanteric fractures. Underwent open reduction and intramedullary nail fixation plum. Surgery using retrograde needle method, Nov. 29, 1989 rehospitalization dial needles. Search: The right hip joint stiffness in the l50 ~ 180. Between the top of the right greater trochanter local uplift,[link widoczny dla zalogowanych], walnut-sized palpable bony mass, mass with the hip joint,[link widoczny dla zalogowanych], intramedullary needle does not touch the end. x films showed two fractures of the right femur had been healed, showing a large intramedullary needle transferred to the top end of about 2cm, needles can be seen around the end of the size of 35 × 2.5cm mass surrounding the bone. Surgery for the ossification of the dial needle see mass organizations, pintail not palpable. Chisel with a bone chisel in the groove on the bone mass. Exposed needle removed after the end of nail. This fall a double fracture of femur with intramedullary nailing, the pin exposed end of the greater trochanter to the top 2cm, consistent with intramedullary nailing requirements. Pin the coccyx bone mass of the formation, the reason may be due to retrograde pinning, large transfer to the top of the puncture, the bone marrow and blood flow to the tuberosity {mourning the top of the gradual ossification of the bony mass. Pour 2, women. 18 years old, solid right femur 1 / 3 fracture, in June 10, 1978 the line v-type intramedullary nailing, retrograde pinning method. Femoral canal is not trapped by an amplifier to expand, V-nail in distal femoral fractures after entering stuck, showing the greater trochanter to the top end needle about 8cm can not hit, and the needle bent tail parts in the eye of a needle, forced underground to the subcutaneous , after the end of intramedullary needle soft tissue swelling of parts of the hip, pain, fever with body base, the positive control of inflammation is invalid, after suture removal of the hip. Pus whip out about 50m |. Local inflammation subsides, but every day there are small amount of purulent discharge flow, continuous prolonged unhealed, dressing changes, palpable pintail. Six months later, after healing confirmed by the photos, nail removal, scraping the end of soft tissue needle fistula, by dressing the wound healing. This fall femur fractures. V-type intramedullary nailing line, due to inadequate preoperative preparation, resulting in needle stuck into the surgery, showing a large needle transferred to the Xinjiang tail end of long scm,[link widoczny dla zalogowanych], according to intramedullary nailing does not meet the requirements. Retrograde pinning, intramedullary pin along the blood and bone marrow reservoir to the greater trochanter were the top slot, once the infection. Nail becomes metallic foreign body, no blood, wound treatment will be a long time, this is the z-scale unitary intramedullary nail fixation of severe complications. 3 down, male, 65 years old. Trapped under the right femur fracture, 6 February 1984 V-type intramedullary nailing daily, six months after abandoning Shui walk, the gradual emergence of right buttock mass,[link widoczny dla zalogowanych], in 1985 after 10 fracture healing period photos. Requires needle injection rehospitalization. Search: The right hip hemispherical palpable subcutaneous mass, approximately 15 × 15cm size, soft, no tenderness. Subcutaneous masses, palpable and protruding from the top of the pin end of the greater trochanter. x films showed: right subtrochanteric fracture has healed, revealing the greater trochanter to the top end needle about 6cm, and visible swelling around the needle end of the soft tissue shadow. Dial needle, the skin incision, the exposed needle end, and out of the ball of fat particles, particles of about pea size, intraoperative removal of fat particles, lumps disappear, nail removal surgery, wound healing. This fall femoral fractures, pin tail rotor to show your top choice 6cm. Prominent in the skin, clearly does not meet the requirements of intramedullary nail fixation of fracture. This fall occurred in the original storm, probably due to stay too long pintail, not covered by fascia hip, long-term stimulation of subcutaneous fat tissue, during walking, V-tail back and forth friction needle in subcutaneous fat. Ground into the fat ball-like, to accommodate the activities of lower extremity, and the formation of large lumps under the skin. 4 down, male, 26 years old, solid left femur fracture, malunion, fracture overlap 5cm, on June 9, 1991 lines left femur open reduction and intramedullary pin fixation plum, postoperative recovery was good, but often feel needle End Swelling, pain, in 6 March 1992, l2 review to the hospital again. Requirements of needle injection. Search: The left hip slightly swollen. Size of hip duck palpable mass, the mass may be palpable under the needle tail, touched pintail v. pain. Photo shows the femur fracture has been bone blood together,[link widoczny dla zalogowanych], highlighting the greater trochanter nail the top about 45cm. Needle injection, they found a cystic mass surrounding the plum nail-pin tail, cut the wall, out of about 3Occ yellow bloody fluid, nail set aside, the mass disappeared, wound healing. The old fracture of the upper femur down. After fixation with intramedullary nail, it highlights the needle tail rotor to the top 4.5cm, retention is still too long. Metallic foreign body because of chronic stimulation of the gluteal muscle. And the hip joint, the needle end of the friction of the soft tissue, secondary to the formation of pin the tail gradually slip possession of cysts. Pin the tail slide continued possession of the plum blossom sac end of the stimulation needle, and repeated minor trauma locally, but also induced the formation of bursitis.

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