中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
11期
1192-1194
,共3页
股骨骨折%锁定钢板内固定%传统钢板内固定%断裂率
股骨骨摺%鎖定鋼闆內固定%傳統鋼闆內固定%斷裂率
고골골절%쇄정강판내고정%전통강판내고정%단렬솔
Femur fracture%Locking plate fixation%Conventional plates fixation%Fracture rate
目的 探讨锁定钢板和传统钢板治疗股骨骨折内固定断裂原因.方法 选择股骨骨折并采用钢板内固定治疗的患者共198例,据治疗方法的不同分为传统钢板内固定87例(对照组),锁定钢板内固定111例(研究组),随访患者的内固定断裂情况并分析患者内固定断裂的原因.结果 锁定钢板内固定的患者出现内固定断裂5例(4.5％,5/111),传统钢板内固定断裂3例(3.4％,3/87),两组比较差异无统计学意义(x2=0.053,P=0.987).断裂方式:钢板断裂4例、螺钉断裂2例和钢板断裂合并螺钉断裂2例.医源性因素导致内固定断裂发生率(30.0％,3/10)显著高于康复锻炼错误的患者(6.9％,2/29)(x2=3.851,P=0.046);两种因素同时出现者内固定断裂率为100％.结论 医源性因素合并康复锻炼错误是内固定断裂的主要原因,应正确选择内固定方法并正确指导患者术后功能锻炼.
目的 探討鎖定鋼闆和傳統鋼闆治療股骨骨摺內固定斷裂原因.方法 選擇股骨骨摺併採用鋼闆內固定治療的患者共198例,據治療方法的不同分為傳統鋼闆內固定87例(對照組),鎖定鋼闆內固定111例(研究組),隨訪患者的內固定斷裂情況併分析患者內固定斷裂的原因.結果 鎖定鋼闆內固定的患者齣現內固定斷裂5例(4.5％,5/111),傳統鋼闆內固定斷裂3例(3.4％,3/87),兩組比較差異無統計學意義(x2=0.053,P=0.987).斷裂方式:鋼闆斷裂4例、螺釘斷裂2例和鋼闆斷裂閤併螺釘斷裂2例.醫源性因素導緻內固定斷裂髮生率(30.0％,3/10)顯著高于康複鍛煉錯誤的患者(6.9％,2/29)(x2=3.851,P=0.046);兩種因素同時齣現者內固定斷裂率為100％.結論 醫源性因素閤併康複鍛煉錯誤是內固定斷裂的主要原因,應正確選擇內固定方法併正確指導患者術後功能鍛煉.
목적 탐토쇄정강판화전통강판치료고골골절내고정단렬원인.방법 선택고골골절병채용강판내고정치료적환자공198례,거치료방법적불동분위전통강판내고정87례(대조조),쇄정강판내고정111례(연구조),수방환자적내고정단렬정황병분석환자내고정단렬적원인.결과 쇄정강판내고정적환자출현내고정단렬5례(4.5％,5/111),전통강판내고정단렬3례(3.4％,3/87),량조비교차이무통계학의의(x2=0.053,P=0.987).단렬방식:강판단렬4례、라정단렬2례화강판단렬합병라정단렬2례.의원성인소도치내고정단렬발생솔(30.0％,3/10)현저고우강복단련착오적환자(6.9％,2/29)(x2=3.851,P=0.046);량충인소동시출현자내고정단렬솔위100％.결론 의원성인소합병강복단련착오시내고정단렬적주요원인,응정학선택내고정방법병정학지도환자술후공능단련.
Objective To investigate the reason of fracture internal fixation of locking plates and conventional plate in the treatment of femoral fractures.Methods A total of 198 patients with femoral fracture taken plate fixation were selected as our subjects.Of which,the locking plate were used in 87 cases served as control group and 111 cases had traditional plate fixation served as study group.Fracture fixation rate in patients were follow-up and the reasons for broken were analyzed.Results Fracture fixation occurred 5 cases (4.5％,5/111) in the locking plate,and 3 cases (3.4％,3/87) in traditional plate,and the difference was not significant (x2 =0.053,P =0.987).Fracture reason included plate fracture (4 cases),fracture of screws (2 cases) and plate fracture complicated with breakage of screw (2 cases).Iatrogenic factors lead fracture fixation was 30.0％ (3/10),significantly higher in patients with rehabilitation exercises errors (6.9％,2/29; x2 =3.851 ; P =0.046).Both iatrogenic factors and rehabilitation exercises errors caused fracture fixation rate was 100％.Conclusion Iatrogenic factors combined rehabilitation exercises error was the main reasons in fracture fixation.We should properly choose fixation methods and correctly guide the postoperative functional exercise for patients.
