FOREARM FRACTURE PLATES - TO REMOVE OR NOT TO REMOVE

被引：50
作者：
LABOSKY, DA
CERMAK, MB
WAGGY, CA
机构：
[1] Hand and Microvascular Surgery Section, Department of Orthopedic Surgery, Department of Physical Therapy, Morgantown, WV
来源：
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 02期
关键词：
D O I：
10.1016/0363-5023(90)90112-5
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Eighty dynamic compression plates used to fix fractures of the radius and/or ulna were removed from 51 of 98 adult patients. Thirty-seven patients had plates removed electively. Fourteen patients had plates removed for clinical reasons. The average time from insertion to removal was 13.6 months, with a range from 4.4 to 36 months. Only one refracture occurred through the unhealed both bone forearm fracture site in a patient whose plate was taken out 6 months after surgery. One refracture also occurred through the proximal screw hole of a still implanted ulna plate that had been inserted 3 years earlier. Leaving a plate in for the remaining life of a young patient cannot be considered a benign decision considering the persisting chance for refracture and the potential complications from prolonged exposure to metal corroion complexes and metal ions. © 1990.
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页码：294 / 300
页数：7
相关论文
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[1]  
Baggott, Goodship, Lanyon, A quantitative assessment of compression plate fixation in vivo: An experimental study using the sheep radius, J Biomech, 14, pp. 701-711, (1981)
[2]  
Harkess, Principles of fractures and dislocation, Fractures, (1975)
[3]  
Hesketh, Rigid fixation of fractures by compression plating: A pilot study, Proc Roy Soc Med, 61, pp. 983-986, (1968)
[4]  
Hicks, Cater, Minor reactions due to modern metal, J Bone Joint Surg, 44 B, pp. 122-128, (1962)
[5]  
Radin, Simon, Rose, Paul, Practical biomechanics for the orthopaedic surgeon, (1979)
[6]  
Scales, Winter, Shirley, Corrosion of orthopaedic implants, screws, plates, and femoral nail-plates, J Bone Joint Surg, 41 B, pp. 810-820, (1969)
[7]  
Slatis, Paavolainen, Karaharju, Holmstrom, Structural and biomechanical changes in bone after rigid plate fixation, Can J Surg, 23, pp. 247-250, (1980)
[8]  
Terjesen, Plate fixation of tibial fractures in the rabbit, Acta Orthop Scand, 55, pp. 452-456, (1984)
[9]  
Tonino, Davidson, Klopper, Linclau, Protection from stress in bone and its effects. Experiments with stainless steel and plastic plates in dogs, J Bone Joint Surg, 58 B, pp. 107-113, (1976)
[10]  
Uhthoff, Dubuc, Bone structure changes in the dog under rigid internal fixation, Clin Orthop, 81, pp. 165-170, (1971)
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