股骨中下段骨折术后钢板断裂原因分析及纠正策略  

Reason analysis and correction strategy on the plate break after internal fixation with plate in femoral shaft and distal fracture

作　　者：秦晓平[1] 郭新辉[1] 曹阳[1] 许啸[1] 

机构地区：[1]解放军第四二一医院骨科,广东广州510318

出　　处：《中国医药导报》2010年第30期22-23,共2页China Medical Herald

摘　　要：目的:探讨股骨中下段骨折术后钢板断裂的原因及纠正策略。方法:通过对2005年1月～2010年7月16例术后出现钢板断裂中,具有代表性的1例股骨中段,1例股骨下段,对其断裂原因进行回顾性分析,并得出纠正治疗方法。结果:造成钢板断裂的原因中,内植物放置及应用不当、骨折复位不良及碎骨块血运破坏、术后锻炼不得当三个方面是主要因素,术者尤应注意。结论:选择合适的钢板,有条件的可使用髓内钉;术中正确规范操作,必要时植骨;术后科学、合理的功能锻炼及术后定期随访能有效防止术后钢板断裂。Objective：To investigate the reasons of femoral shaft and distal fracture of those plate break and correction strategy after internal fixation with plate.Methods：16 cases of femoral fracture of those plate break,representative 2 cases,one case of femoral shaft fracture,the other was femoral distal fracture,plate break reasons were analyzed retrospectively,and given correct treatment.Results：In the reason of creating the plate break,implants laying aside and the application did not work as malreduction and bone mass destruction of blood circulation,inappropriate exercise after surgery,the three aspects were the main factors.Close attention must be paid attention to.Conclusion：Choosing appropriate plate,conditionally can use intramedullary nailing.Intraoperative correct standardized operation,when necessary,bone grafting.Scientific and reasonable exercise and regular follow-up can effectively prevent the postoperative plate break.

关 键 词：股骨骨折 钢板断裂 原因 纠正策略 

分 类 号：R683.42[医药卫生—骨科学]