盖氏骨折内固定失效的相关因素及治疗对策

目的:探讨盖氏骨折内固定失效的相关因素及治疗对策。方法:本组23例盖氏骨折内固定失效患者,采用AO有限接触动力加压接骨板(LC-DCP)固定术,治疗同时行自体骨植骨。结果:随访6~24个月,23例均获骨性愈合,功能满意。结论:影响盖氏骨折内固定失效的主要因素是由于对盖氏骨折认识不足,首次手术时内固定的选材、术者操作技术及术后管理不当,从而导致内固定失效;选择AO的3.5mm LC-DCP行内固定术,并以准确的操作技术为保证,术后加强管理,正确指导功能锻炼是治疗盖氏骨折内固定失效的有效对策。

Relative Factors And Treatment of The Unefficient Internal Fixation of Galeazzi fracture

Objective:To explore the possible causes and the treatment of the unefficient internal fixation of Galeazzi fracture.Methods:Twenty-three cases of the unefficient internal fixations of Galeazzi fracture were treated with internal fixations of LC-DCP,autologus spongy bone transplantations.Results:Patients were followed up for 6 to 24 months.All cases had bony union,of which and 20 cases(87%) were obtained satisfactory functional rehabilitations.Conclusion:The major causes that may lead to the unefficient internal fixation of Galeazzi fracture are improper internal fixation,security of internal fixation,and improper early movement.Proper internal fixation,autologus spongy bone transplantation are efftective in the treatment of the unefficient internal fixation of fractures and in the functional rehahililalion of the forearms.