Refracture of long bones after implant removal

Ochs B. G.; Gonser C. E.; Baron H. C.Stockle U.Badke A.Stuby F. M.

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Refracture of long bones after implant removal

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abstract_textpRefractures of long bones after implant removal are a rare but serious complication, which in most cases make a reoperation necessary. We analysed our own cases and reviewed the scarce literature on this subject. As a result we found that it is possible to reduce this complication by performing thorough preoperative preparation, observing an adequate interim time between initial osteosynthesis and hardware removal, cautiously exposing the weakened bone to force for a certain time period after implant removal and taking the character of the fracture healing into consideration. It is not possible to entirely eradicate this complication because a lot of patients demand the implant removal even though it is known that demineralisation and residual screw holes both induce a reduction of energy-absorbing capacity and therefore predispose the patient to refracture. In some cases the surgeon should recommend that the implants remain in situ./p/abstract_text

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《Der Unfallchirurg》 |2012年第4期|323-329|共7页
作者
Ochs B. G.; Gonser C. E.; Baron H. C.Stockle U.Badke A.Stuby F. M.;
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作者单位

Univ Tubingen, Berufsgenossenschaftliche Unfallklin Tubingen, Klin Unfall & Wiederherstellungschirurg, D-76076 Tubingen, Germany;

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原文格式 PDF
正文语种英语
中图分类
关键词
Osteosynthesis; Implant removal; Hardware removal; Complications; Refracture; PLATE REMOVAL; SCREW HOLES; FOREARM; FRACTURES; FIXATION; RISK; COMPLICATIONS;

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Refracture of long bones after implant removal

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