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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Closed External Fixation for Failing or Failed Femoral Shaft Plating in a Developing Country RC04-RC06
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Closed External Fixation for Failing or Failed Femoral Shaft Plating in a Developing Country RC04-RC06

机译：发展中国家RC04-RC06封闭式股骨干失败或失败的外固定架

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Introduction: Femoral shaft fractures are one of the common injuries that is treated by open reduction, with internal fixation by plate and screws or intramedullary nailing, which can achieve a high union rate.Aim: To evaluate the outcome of using closed external fixation to augment a failing plate; with signs of screw loosening and increasing bone/plate gap; a failed plate; broken plate; screws completely out of bone with redisplacement of fracture.Materials and Methods: A retrospective study on 18 patients, aged between 17-42 years, who presented between 6-18 weeks after initial surgical fixation, with pain, difficulty in limb function, deformity and abnormal movement at fracture site, was done. X-Rays showed plating failure with acceptable amount of callus, which unfortunately had refractured. Cases associated with infection and no radiological evidence of callus formation were excluded from this study. Closed reduction was done by manipulation, then fracture fixation by AO external fixator. The patients were encouraged for full weight bearing as early as possible with dynamization later on.Results: Of the 18 patients who underwent external fixation after close reduction, 15 cases showed bone healing in a period between 11-18 weeks (mean of 14.27 weeks) with good alignment (Radiologically). Removal of external fixator was done followed by physical therapy thereafter.Conclusion: Closed external fixation for treatment of failing or failed femoral plating, achieves good success rate and has less complications, is a short time procedure, especially in a hospital with limited resources.
机译：简介：股骨干骨折是开放复位治疗的常见损伤之一，可通过钢板和螺钉进行内固定或髓内钉固定，可达到较高的联合率。目的：评估使用闭合外固定架进行增强的结果失败的盘子;有螺钉松动和增加骨/板间隙的迹象;失败的盘子;断板材料和方法：回顾性研究18例年龄在17-42岁之间的患者，这些患者在初次手术固定后6-18周内就诊，出现疼痛，肢体功能困难，畸形和骨折部位异常运动。 X射线显示镀层破裂，并带有可接受量的愈伤组织，不幸的是该组织已经破裂。本研究不包括与感染有关且无放射线迹象的愈伤组织形成的病例。闭合复位可通过操作完成，然后通过AO外固定器固定骨折。结果：鼓励患者尽早负重，并在以后进行动态化治疗。结果：在18例患者中，他们在严格复位后进行了外固定，其中15例在11-18周（平均14.27周）内表现出骨愈合。排列良好（放射学上）。结论：封闭的外固定支架治疗失败或失败的股骨板，成功率高，并发症少，手术时间短，特别是在资源有限的医院。

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