骨折内固定物断裂原因分析  

Cause analysis of implant rupture in internal fixation after fracture

作　　者：崔海东[1] 吕书军[1] 

机构地区：[1]南通大学附属海安医院骨科,江苏海安226600

出　　处：《吉林医学》2008年第23期2176-2177,共2页Jilin Medical Journal

摘　　要：目的：对骨折内固定物断裂原因分析。方法：对2002年9月-2007年8月23例骨折内固定物断裂病例进行分析。结果：骨折未达到解剖复位，内固定物选择及安放位置不当，未及时治疗骨不连，内固定物放置时间过长及术后不适当的功能锻炼、过早负重，是造成内固定物断裂的主要原因。结论：解剖复位、坚强内固定、及时治疗骨不连、及时取出内固定物及术后合理功能锻炼是预防内固定物断裂的根本措施。Objective To analyze the cause of implant rupture in internal fixation after fracture. Method The clinical data of 23 cases with implant rupture in internal fixation after fracture from September 2002 to August 2007 were analyzed retrospectively. Results Fracture did not reach anatomical repositioning, improper selection and placement of the implant, unpromptly nonunion treating, long time placing of the implant, inappropriate functional exercise postoperation, premature loading were the main reasons for implant rupture. Conclusion Anatomical repositioning, rigid internal fixation, timely treatment of nonunion, removing the implant in time and reasonable functional training are the fundamental measures of preventing implant rupture.

关 键 词：骨折 内固定物 断裂 

分 类 号：R687.3[医药卫生—骨科学]