青少年股骨骨髓內釘手術失敗－－用非接觸橋接骨板治療

Failed Femur Nailing Operation Treated with Non-Contact-Bridging Plate in an Adolescent

儘管青少年股骨幹骨折治療後併發症罕見，但可能涉及不癒合。我們在此報告一例罕見的青少年病例，其因股骨幹假關節在兩次髓內釘治療後使用非接觸橋接板進行治療。我們報告了一名15歲青少年因交通事故造成粉碎性股骨幹骨折的病例。初步治療使用了鋼板和無螺釘的剛性髓內釘。儘管最初替換髓內釘進行了修正，但仍觀察到股骨幹不癒合和腿長不一致。進一步修正手術在股骨近端添加了非接觸橋接骨板而不移除髓內釘。一年隨訪時觀察到股骨幹完全癒合。我們的病例顯示了通過在股骨近端側面使用非接觸橋接板管理股骨不癒合骨折的效果。

The complication following adolescent femoral shaft fracture treatment, although rare, may involve nonunion. Here, we present a rare case of an adolescent treated with a non-contact bridging plate for femoral shaft pseudoarthrosis after treated twice with intramedullary (IM) nail. We presented a case of a 15 year old teenager with comminuted femoral shaft fracture due to a traffic accident. Plating and rigid IM nail without screw were used initially. Nonunion of femoral shaft with leg length discrepancy was noted despite the initial revision of IM nail substitution. Another revision was done by adding Non-Contact-Bridging plate on the proximal femur without removing the nail. Full union of the femoral shaft was observed at 1 year follow-up. Our case showed management of femur nonunion fracture by using non-contact bridging plate on the side of proximal femur.