股骨干骨折术后再手术原因分析及预防对策

目的:总结股骨干骨折内固定术后再骨折再手术治疗的方法。方法:回顾性分析手术内固定治疗股骨干骨折再手术原因、手术方法,以及相应的预防对策。结果:完全骨性愈合后手术取出内固定钢板、髓内针,13例均恢复正常的肢体功能,2例遗留膝关节部分屈曲功能障碍。结论:首选治疗方法、内固定器材选择、手术治疗技术操作、骨碎块及骨折缺损未充分修复、手术适应证选择、术后康复功能锻炼等,均可以是引起骨折内固定术后再手术的原因。避免骨折术后内固定失效再手术的因素发生是提高内固定术成功的关键。

Causes of re-operation for postoperative femoral shaft fractures and countermeasures

Objective: To investigate the surgical management for the fractures of postoperative femoral shaft fractures treated using internal fixation.Methods: Datas of 15 patients with re-operation for postoperative femoral shaft fractures were studied retrospectively,including causes,surgical procedures and preventive measures.Results: The fixing steel plates and nails were removed by surgery after the fractures healed soundly,functions of the legs recovered well in 13 cases,partial dysfunction of flexion of the knees occurred in 2 cases.Conclusion: The causes of re-operation for fractures of postoperative femoral shaft fractures are the initial treatment,materials for internal fixation,the operative technique,inadequate management of the bone fragments and defects of fractures,the indications of surgery,postoperative rehabilitation training and so on.The key to prevent re-operation is to manage the causes mentioned above properly.