摘要
目的:分析动力髁螺钉(DyniticCondylarScrew,DCS)临床应用中的失误及并发症的原因,并探讨减少失误、降低并发证发生率的具体措施。方法:采用DCS治疗股骨远端骨折46例;回顾性分析其手术失误及并发症发生原因。结果:按Shelbourane评定标准,优26例、良12例、可4例、差4例,优良率83%。46例中,出现技术失误1例,系DCS主钉位置不当;产生并发症6例,包括1例螺钉松动、3例DCS钢板折断、1例术后感染、1例伸膝装置粘连。结论:(1)失误及并发症产生的主要原因是手术操作、DCS自身设计、生物力学设计、手术时间的选择及术后功能煅炼不当。(2)减少失误、降低并发症发生率的对策是严格掌握DCS适应证、规范的手术操作及重视术后康复指导。
Objective：To discuss the causes of lapse and complications in the clinical application of dynitic condylar screw, Methods：The clinical data of 46 cases receiving dynitic codylar screw operations were reviewed and the causes of lapse and complications in the clinical application were analyzed. Results： According to the standard of Shelbourane, the results were excellent in 26 cases, good in 12 cases, moderate in 4 cases and poor in 4 cases, with a response rate of 83 %. Among the 46 cases, relapse of improper location of main peg of dynitic codylar screw was found in one case. 6 cases developed complications, including one case of screw loosening, three cases of steel plate turning, one case of infection and one case of knee adhesion. Conclusion： Strict mastery of the indications of DCS, standard operation and rational postoperative rehabilitation are essential to the decrease of lapse and complications.
出处
《解剖与临床》
2005年第3期208-209,218,共3页
Anatomy and Clinics
关键词
动力髁螺钉
失误
并发症
Dynitic codylar screw
Lapse
Complications
