摘要
目的探讨胫腓骨骨折术后钢板折断的原因及处理方法。方法回顾性分析19例术后出现钢板折断的胫腓骨骨折的折断原因,介绍纠正治疗方法。结果内固定方式运用不恰当、钢板长度及位置错误、骨折复位差及骨碎片缺失血运、过早下地负重等4个方面是造成钢板折断的重要原因,19例患者第2次手术内固定均改以交锁髓内钉,骨折得以愈合。结论选择适合的内固定,严格把关适应证,手术规范仔细操作,必要时植骨,术后科学正确的关节训练及术后定期随访能有效防止发生胫腓骨骨折钢板术后折断。
Objective To investigate the reasons of plate-breakage after internal fixation with plate in tibiofibular shaft fracture,and to discuss the management strategies. Methods A retrospective clinical analysis was performed on the 19 plate-breakage cases in tibiofibular fracture. Results Improper instrumentation selection,misplacement of internal fixation,malreduction and poor blood circulation of bone mass,and inappropriate exercise after surgery are the main reasons for plate-breakage. Conclusion The key points to prevent the post-operative plate-breakage are choosing appropriate instrumentation,identifying strict indications,standardizing the procedure,bone graft when necessary and regular following-up.
出处
《中国医药科学》
2013年第12期181-182,共2页
China Medicine And Pharmacy
关键词
胫腓骨骨折
钢板断裂
原因分析
治疗对策
Tibiofibular fracture
Plate-breakage
Reason
Treatment strategy
