{"title":"定制动力髋螺钉治疗股骨颈骨不连外翻截骨一例","authors":"Posatorn Suwanpongsai, Kongkhet Riansuwan","doi":"10.1016/j.tcr.2024.101119","DOIUrl":null,"url":null,"abstract":"<div><div>We report the treatment of femoral neck nonunion in an adult female who has remarkable femoral neck anatomy. The initial fracture was treated by closed reduction and multiple screws incorporated pin fixation. Eventually, nonunion with implant loosening developed after about 10 following months. Therefore, trochanteric valgus osteotomy and dynamic hip screw fixation was determined to treat the nonunion. As a result of implant-anatomy mismatching, the customized lag screw was designed to compromise both of the particular anatomy and the ordinary side plate. The implant was manufactured using a Computer Numerical Control (CNC) machine. Finally, the nonunion and osteotomy site completely healed without complication.</div></div>","PeriodicalId":23291,"journal":{"name":"Trauma Case Reports","volume":"54 ","pages":"Article 101119"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A customized dynamic hip screw for valgus osteotomy in femoral neck nonunion with remarkable anatomy: A case report\",\"authors\":\"Posatorn Suwanpongsai, Kongkhet Riansuwan\",\"doi\":\"10.1016/j.tcr.2024.101119\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>We report the treatment of femoral neck nonunion in an adult female who has remarkable femoral neck anatomy. The initial fracture was treated by closed reduction and multiple screws incorporated pin fixation. Eventually, nonunion with implant loosening developed after about 10 following months. Therefore, trochanteric valgus osteotomy and dynamic hip screw fixation was determined to treat the nonunion. As a result of implant-anatomy mismatching, the customized lag screw was designed to compromise both of the particular anatomy and the ordinary side plate. The implant was manufactured using a Computer Numerical Control (CNC) machine. Finally, the nonunion and osteotomy site completely healed without complication.</div></div>\",\"PeriodicalId\":23291,\"journal\":{\"name\":\"Trauma Case Reports\",\"volume\":\"54 \",\"pages\":\"Article 101119\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Trauma Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352644024001420\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trauma Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352644024001420","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
A customized dynamic hip screw for valgus osteotomy in femoral neck nonunion with remarkable anatomy: A case report
We report the treatment of femoral neck nonunion in an adult female who has remarkable femoral neck anatomy. The initial fracture was treated by closed reduction and multiple screws incorporated pin fixation. Eventually, nonunion with implant loosening developed after about 10 following months. Therefore, trochanteric valgus osteotomy and dynamic hip screw fixation was determined to treat the nonunion. As a result of implant-anatomy mismatching, the customized lag screw was designed to compromise both of the particular anatomy and the ordinary side plate. The implant was manufactured using a Computer Numerical Control (CNC) machine. Finally, the nonunion and osteotomy site completely healed without complication.
期刊介绍：
Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.
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