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岭南现代临床外科 ›› 2011, Vol. 11 ›› Issue (05): 375-377.

• 临床研究 • 上一篇    下一篇

锁定加压接骨板治疗骨折术后钢板螺钉断裂原因分析

林晓毅1,袁华澄2,游戊己2,林凤晖2   

  1. 1. 福建省厦门大学附第一医院
    2. 广州市番禺区南村医院
  • 通讯作者: 林晓毅

The analysis of the reasons caused locking compression plate breakage in treating fractures

  • Received:2011-07-13 Revised:2011-07-28 Online:2011-10-20 Published:2011-10-20

摘要: 目的 分析锁定加压接骨板固定骨折后钢板螺钉出现断裂的原因。方法 对收治的8例应用锁定钢板后出现钢板螺钉断裂的病例进行回顾性分析。结果 1例因钢板过短,5例因螺钉密度过大,1例因未对骨折端进行加压,5例未进行植骨,4例为开放性伤口,局部血运破坏严重,1例术后感染,2例因操作技术不当。 结论 锁定钢板的应用,除了应遵循AO内固定原则外,还需遵循其本身的特点及使用要求,以免内固定物断裂。

关键词: 锁定加压接骨板, 骨折内固定, 断裂

Abstract: 【Abstract】objective To analyse the reasons caused locking compression plate brekage in fracture treatment. Method A retrospective analysis was done to study the causes of the 8 cases with locking compression plate breakage following fractural treatment.Result 0f the 8 cases,1 was caused by short length of plate,5 by oversized srew density,1 by noncompression to the bone fracture, 5 by no bone plant,1 by postoperative infection,2 by operative mistakes,4 were open fractures with severe primary injury.Conclusion The successful application of locking compression plate in fracture treatment does not lie in a correct understanding and skillful mastery of the principle of locked internal fixators,but also lies in the correct application of the principles of AO internal fixation.