CAJ | 학술논문

目的：探讨四肢骨折内固定术愈合后内固定装置取出困难具体表现与原因，提出针对性的解决策略。方法：20例四肢内固定术愈合后内固定装置取出困难患者作为观察组，将209例取出相对容易者作为对照组。结果：器械不匹配25.00%，周围骨痂生长包埋螺钉25.00%，螺钉凹槽损坏55.00%，骨水泥包埋内固定物5.00%；对照组年龄高于观察组，观察组并发症合计例次率高于对照组(P＜0.05)。结论：四肢骨折内固定术愈合后内固定装置取出困难，与骨折伤情、骨水泥包埋质量、医师取出术准备工作等原因有关。
목적：탐토사지골절내고정술유합후내고정장치취출곤난구체표현여원인，제출침대성적해결책략。방법：20례사지내고정술유합후내고정장치취출곤난환자작위관찰조，장209례취출상대용역자작위대조조。결과：기계불필배25.00%，주위골가생장포매라정25.00%，라정요조손배55.00%，골수니포매내고정물5.00%；대조조년령고우관찰조，관찰조병발증합계례차솔고우대조조(P＜0.05)。결론：사지골절내고정술유합후내고정장치취출곤난，여골절상정、골수니포매질량、의사취출술준비공작등원인유관。
Objective: To investigate the specific performance and reason of the removal difficult of internal fixation device after the internal fixation of limb fracture healing,in order to put forward specific strategies.Methods:We retrospective analyzed 20 cases of limb fixation healing after internal fixation device removal difficult patients as the observation group,and other 209 cases who were removed relatively easy were selected as the control group.Results:The device does not match was 25% ,the callus growth around the embedded screw was 25%,screw groove damage was 55%,bone cement embedding implants was 5%;the age of the control group was higher than that of the observation group,the total complication cases of the observation group was higher than that of the control group(P<0.05).Conclusion:The internal fixation device is difficult to take out after internal fixation of limb fracture healing,which is related to the fracture injury,bone cement embedding quality,physician removal preparations and other causes.