昆切指甲的自发近位迁移:一种不常见的并发症
Sharan Mallya1, Gumin Tayeng2, Ashok Puranik2
1Orthopaedics, AIIMS Guwahati, Guwahati, Assam, India sharanmallya@gmail.com.
BMJ case reports
|April 5, 2025
概括
昆切指甲 (K-指甲) 的自发近位迁移很少见,但可能由于骨质疏松症或感染等因素而发生. 建议在骨折愈合后提前去除K指甲,以防止并发症.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 最初是V形的Kuntscher指甲 (K-指甲) 被重新设计为三叶草形状,以提高强度和可用性.
- 腿部K指甲迁移,特别是远端,是已知的并发症,但近端自发挤出异常罕见.
研究的目的:
- 为了突出自发近端K指甲挤出不常见的并发症.
- 强调在骨折巩固后及时切除植入物的重要性.
主要方法:
- 一个老年女性的病例介绍,她有骨骨折史,接受K-nailing治疗.
- 对近接K指甲迁移的潜在原因和临床影响的审查.
主要成果:
- 患者在11年后出现了近端K指甲迁移,她经历了3年没有寻求医疗护理的症状.
- 靠近外挤的常见病因因素包括骨质疏松症,感染,错误的植入物大小,延迟结合和过早的承重.
结论:
- 凯指甲的自发近位迁移是一个罕见的临床事件.
- 建议定期去除K指甲骨折后的放射性结合和巩固,以减轻风险.
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