摘要
目的探讨四肢长骨骨折术后钢板或螺钉断裂的原因及其对策。方法通过对笔者所在医院2000～2010年收治的四肢长骨骨折采用切开复位钢板螺钉内固定术的836例患者中出现的27例钢板或螺钉断裂病例资料进行回顾性研究,分析其钢板或螺钉断裂的原因。结果术前、术中、术后均可造成钢板或螺钉断裂,其中钢板选择不当,术中操作不当,术后锻炼不当是钢板或螺钉断裂的主要原因。结论正确掌握钢板使用的适应证及禁忌证,选择适当钢板,操作正规,早期植骨,术后在医生的指导下科学锻炼并定期随访,可有效防治钢板的断裂。
Objective To discuss causes and it＇s managements of the plate broken after long bone fracture.Methods We collected 836 cases in our hospital which treated with plates and screws after long bone fracture from 2000 to 2010.Patients were followed up and we found plates or screws broken in 27 cases.Cases were researched retrospectively,and potential factors of the locking plate failure were analyzed.Results Causes of the plates and screws broken were related with a variety of factors according to our research,such as improper choice of plates and screws,lack of experience of the operators,and improper exercises.Conclusion Indications and contraindication of plates should be correct,choice of plates should be proper,importance of bone grafting in primary,exercise should be directed by a doctor and regular follow-up.
出处
《中国医药科学》
2012年第14期195-196,199,共3页
China Medicine And Pharmacy
关键词
长骨骨折
钢板
螺钉
断裂原因
防治
Long bone fracture
Plate
Screw
Broken cause
Management
