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曲的骨髓内甲骨关节植入物曲的骨髓内甲骨关节植入物

Arin A Drtil¹, Whitaker C Reid², William F Pientka^1,2

¹JPS Health Network, Fort Worth, TX, USA.

Hand (New York, N.Y.)

|April 26, 2025

概括

甲手腕骨折的骨髓内固定可以导致植入物曲,特别是在冲击伤害后. 这种并发症表明,在有闭合拳击病史的患者中,应避免使用这种固定方法.

科学领域:

整形外科手术整形外科手术
创伤学创伤学创伤学
生物医学工程生物医学工程

背景情况:

甲手腕骨折很常见,需要有效的治疗来预防长期残疾.
骨髓内固定越来越多地用于甲手腕骨折,提供早期动员的好处.

研究的目的:

为了评估硬件故障的发病率和原因,在甲骨骨折治疗与内固定治疗.
确定植入物并发症的风险因素,并提出植入物并发症的管理策略.

主要方法:

对90名用肌内植入物治疗的甲手腕骨折患者的回顾性审查 (2018年8月至2024年2月).
分析医疗记录和X射线图以确定硬件故障 (曲植入物).
在植入物失败的情况下,记录再损伤机制.

主要成果:

五名患者 (7个螺丝) 经历了植入物曲,所有这些都与穿孔机制有关.
所有患有硬件故障的患者最初都因拳击伤害而出现骨折.
手术后的植入失败时间从4周到7个月不等.

结论:

曲的植入物是甲手腕骨折中肌内固定的一个显著并发症.

关键词:

曲的曲的曲的曲的失败的失败失败的失败失败的失败骨髓内膜内膜内膜内膜在手指上,手指上,手指上. metacarpal metacarpal 螺丝螺丝螺丝螺丝螺丝

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关闭拳击的病史被确定为内甲关节固定的潜在禁忌.

在出现并发症的情况下,提出了切除植入物的策略.