İntramedüller Çivileme Komplikasyonları – 3: Çivi Kırılması ve Çıkarma Yöntemleri 

Ahmet Hamdi Olçar

Sancaktepe Şehı̇t Prof. Dr. İlhan Varank EAH, Ortopedi ve Travmatoloji, İstanbul, Türkiye

Olçar AH. İntramedüller Çivileme Komplikasyonları – 3: Çivi Kırılması ve Çıkarma Yöntemleri. Açan AE, Tokyay A, editör. Alt Ekstremitede İntramedüller Çivileme ve Komplikasyonları. 1. Baskı. Ankara: Türkiye Klinikleri; 2024.p.169-174.

ÖZET

İntramedüller çivileme, ortopedik cerrahide sıklıkla kullanılan bir tedavi yöntemidir. Ancak çivi kı- rılması, bu yöntemde karşılaşılan önemli komplikasyonlardan biridir. Bu makalede, çivi kırılmasının nedenleri, patofizyolojisi ve çıkarma yöntemleri tartışılmaktadır. Ayrıca, bu komplikasyonun yöneti- minde kullanılan klinik yaklaşımlar ve yenilikçi tedavi yöntemleri değerlendirilmektedir.

Anahtar Kelimeler: Çivi kırılması; İntramedüller çivileme; Ortopedik komplikasyonlar; Tedavi yöntemleri

Referanslar

  1. Akkurt E, Yıldırım M, Erenler F, Tosun OM, Akkurt MF, Akkurt B, Şen Z, Olçar AH. Mechanical evaluation for the finite element analysis of intramedullary nailing and plate screw system used in humerus transverse fractures. J Orthop. 2023 Oct 28;61:66-71. [Crossref]  [PubMed]  [PMC]
  2. Hak DJ, McElvany M. Removal of broken hardware. J Am Acad Orthop Surg. 2008 Feb;16(2):113-20. [Crossref]  [PubMed]
  3. Chen SH, Yu TC, Chang CH, Lu YC. Biomechanical analysis of retrograde intramedullary nail fixation in distal femoral fractures. Knee. 2008 Oct;15(5):384-9. Epub 2008 Aug 21. [Crossref]  [PubMed]
  4. Perez A, Mahar A, Negus C, Newton P, Impelluso T. A computational evaluation of the effect of intramedullary nail material properties on the stabilization of simulated femoral shaft fractures. Med Eng Phys. 2008 Jul;30(6):755-60. Epub 2007 Oct 1. [Crossref]  [PubMed]
  5. van Eerten PV, Reemst PH, Repelaer van Driel OJ. Minimally invasive femoral nail extraction. Arch Orthop Trauma Surg. 2005 Apr;125(3):197-200. Epub 2005 Feb 19. [Crossref]  [PubMed]
  6. Park YC, Song HK, Zheng XL, Yang KH. Intramedullary Nailing for Atypical Femoral Fracture with Excessive Anterolateral Bowing. J Bone Joint Surg Am. 2017 May 3;99(9):726-735. [Crossref]  [PubMed]
  7. Liporace FA, Yoon RS. Nail Plate Combination Technique for Native and Periprosthetic Distal Femur Fractures. J Orthop Trauma. 2019 Feb;33(2):e64-e68. [Crossref]  [PubMed]
  8. Garimella R, Eltorai AE. Nanotechnology in orthopedics. J Orthop. 2016 Oct 25;14(1):30-33. [Crossref]  [PubMed]  [PMC]
  9. Li Y, Wang Y, Dong B, Yang P, Sun Y, Zhou L, Shen J, Ma X, Ma J. Comparison of rehabilitation outcomes between ro- bot-assisted and freehand screw placement in treatment of femoral neck fractures: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2024 Mar 8;25(1):208. [Crossref]  [PubMed]  [PMC]
  10. Burnham JM, Meta F, Lizzio V, Makhni EC, Bozic KJ. Technology assessment and cost-effectiveness in orthopedics: how to measure outcomes and deliver value in a constantly changing healthcare environment. Curr Rev Musculoskelet Med. 2017 Jun;10(2):233-239. [Crossref]  [PubMed]  [PMC]
  11. Henschel J, Eberle S, Augat P. Load distribution between cephalic screws in a dual lag screw trochanteric nail. J Orthop Surg Res. 2016 Apr 1;11:41. [Crossref]  [PubMed]  [PMC]
  12. Jaglal SB, Donescu OS, Bansod V, Laprade J, Thorpe K, Hawker G, Majumdar SR, Meadows L, Cadarette SM, Papaioannou A, Kloseck M, Beaton D, Bogoch E, Zwaren- stein M. Impact of a centralized osteoporosis coordinator on post-fracture osteoporosis management: a cluster ran- domized trial. Osteoporos Int. 2012 Jan;23(1):87-95. Epub 2011 Jul 16. [Crossref]  [PubMed]  [PMC]
  13. Lu V, Tennyson M, Zhang J, Thahir A, Zhou A, Krkovic M. Ankle fusion with tibiotalocalcaneal retrograde nail for fragility ankle fractures: outcomes at a major trauma centre. Eur J Orthop Surg Traumatol. 2023 Jan;33(1):125-133. Epub 2021 Nov 24. [Crossref]  [PubMed]  [PMC]
  14. Gauci MO. Patient-specific guides in orthopedic surgery. Orthop Traumatol Surg Res. 2022 Feb;108(1S):103154. Epub 2021 Nov 24. [Crossref]  [PubMed]
  15. Wong KC. 3D-printed patient-specific applications in orthopedics. Orthop Res Rev. 2016 Oct 14;8:57-66. [Crossref]  [PubMed]  [PMC]
  16. Kim JW, Oh CW, Park KH, Oh JK, Yoon YC, Kim JK. Peri-implant atypical femoral fracture after nail or plate osteosynthesis. J Orthop Sci. 2022 Jul;27(4):866-875. Epub 2021 May 27. [Crossref]  [PubMed]
  17. Schaffer NE, Wilson JL, Yee MA, Hake ME. Intramedullary Nail for a Distal Tibia Fracture. J Orthop Trauma. 2020 Aug;34 Suppl 2:S37-S38. [Crossref]  [PubMed]
  18. Goel S, Deshpande SV, Jadawala VH, Suneja A, Singh R. A Comprehensive Review of Postoperative Analgesics Used in Orthopedic Practice. Cureus. 2023 Nov 13;15(11):e48750. [Crossref]  [PubMed]  [PMC]
  19. Sameer M, Muthu S, Vijayakumar PC. Enhanced Recovery After Surgery (ERAS) Protocol in Geriatric Hip Fractures: An Observational Study. Cureus. 2023 Jul 18;15(7):e42073. [Crossref]  [PubMed]  [PMC]
  20. Walters S, Trompeter A. Broken tibial nail extraction: a useful technique. Ann R Coll Surg Engl. 2024 Mar 6. Epub ahead of print. [Crossref]  [PubMed]