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首页> 外文期刊>Open Journal of Urology >Mechanical Complications after Limb Osteosynthesis: Analysis of Etiologic Factors in 42 Cases
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Mechanical Complications after Limb Osteosynthesis: Analysis of Etiologic Factors in 42 Cases

机译：肢体合成后的机械并发症：42例病因分析

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The purpose of this study is to identify the causes of mechanical complications of osteosynthesis of members to prevent and improve the results of our surgical treatments. Patients and Method: Retrospective study including all patients diagnosed with mechanical complications after osteosynthesis of the limbs and who received medical follow-up. 42 patients with an average age of 42.2 years, with a male predominance (36 cases) were selected. These complications predominated in the femur with 26 cases. The implants involved were predominantly screwed plates with 25 cases. We investigated and analyzed the different types of dismantling of material as well as the etiological factors that may be at the origin of these disassembly. Results: After a mean follow-up of 15.47 months, four types of complications were identified: material expulsion (20 cases), migration (3 cases), incurvation (7 cases), fracture of material (12 cases). 4 types of factors causing dismantling have been identified: the factors related to the patient, factors related to fracture, the factors related to the implant and factors related to the surgeon. Conclusion: Disassembly of orthopedic implants is most often of multifactorial origin. These factors may act in isolation but are most often entangled in the patient. Proper preoperative planning can help prevent them. However, unexpected stresses of the implant and certain factors related to the ground remain difficult to control.
机译：这项研究的目的是确定会员的骨合成机械并发症的原因，以预防和改善我们的外科治疗结果。患者和方法：回顾性研究，包括所有在四肢骨合成后被诊断出患有机械并发症并接受医学随访的患者。选择42例平均年龄为42.2岁的男性为主的患者（36例）。这些并发症在股骨中占26例。涉及的植入物主要是25例螺钉固定的钢板。我们调查和分析了材料拆卸的不同类型，以及可能引起这些拆卸的病因。结果：平均随访15.47个月后，发现了四种类型的并发症：材料排出（20例），迁移（3例），弯曲（7例），材料破裂（12例）。已经确定了四种导致拆卸的因素：与患者有关的因素，与骨折有关的因素，与植入物有关的因素以及与外科医生有关的因素。结论：整形外科植入物的拆卸通常是多因素引起的。这些因素可能孤立地起作用，但最常缠绕在患者体内。正确的术前计划可以帮助预防。但是，植入物的意外应力和与地面相关的某些因素仍然难以控制。

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