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Kuntscher çivisi migrasyonuna bağlı gelişen diz septik artriti: olgu sunumu

Septic arthritis of the knee developing due to Kuntscher nail migration: a case report

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Abstract (2. Language): 
Migration of the nail into the adjacent articular space may be seen due to loosening in the long term as Kuntscher nails are lockless nails. Migration of an intramedullary nail into the knee in a patient who had had femur shaft fracture fifteen years ago due to a gun shot injury and had been treated with Kuntscher nail caused septic arthritis by carrying the drainage developing from osteomyelitis of femoral diaphysis into the articular space. Septic arthritis developing due to the migration of nail into the knee is an extremely rare complication. This case emphasizes the need for removal of Kuntscher nails just after the completion of the fracture union.
Abstract (Original Language): 
Kuntscher çivileri kilitsiz çiviler olduğundan, uzun dönemde gevşeme gelişerek komşu eklem içine çivi migrasyonu görülebilmektedir. On beş yıl önce ateşli silah yaralanmasına bağlı femur diafiz kırığı geçirerek Kuntscher çivisi ile tedavi edilmiş bir hastada, çivinin distal migrasyonu ve diz eklemine girmesi femur diafizer bölgede gelişen osteomiyelite bağlı akıntıyı ekleme taşımış ve septik artrite neden olmuştur. Diz ekleminde çivi migrasyonuna bağlı septik artrit çok ender görülen bir komplikasyondur. Bu olgu, Kuntscher çivilerinin kaynama tamamlandıktan sonra çıkarılması gerektiğini vurgulamaktadır.
279-281

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