On the fracture fixator removal difficult analysis and countermeasures.docVIP

 PAGE \* MERGEFORMAT 9 On the fracture fixator removal difficult analysis and countermeasures [Paper Keywords] fractures within the implant; out difficulties; Countermeasures [Abstract] Objective To analyze the fracture of the reasons for the difficulties within the implant removed, and to explore the appropriate therapeutic strategies. Methods 16 cases of internal fixation difficult to remove the clinical data were analyzed retrospectively. The results within the fixture out of 16 difficult cases including 6 cases of screw spiral out of difficulty, four cases of broken screws, wire out the difficulties in 4 cases, pull out the difficulties in two cases of intramedullary nail. This group of cases were to take corresponding measures ultimately were successfully removed. Conclusion Preoperative details of well-prepared operation in a careful analysis to determine fracture smooth out the key measures within the fixture, do not insist at the expense of the cost of bone within the implant removed. Built-in material removal technique is the most common clinical orthopedic surgery, due to adopt in recent years, the proportion of internal fixation of fracture was significantly higher, the corresponding complications are also increased, such as steel plate fracture, nail and the nail bent broken, fractures into a Kok abnormal healing, resulting in increased difficulty of fixation removal (such as Screw spin out of difficulties, broken nails, wire removal difficult, the difficulty of nail pull out situation). Now treated fractures occurred in patients with complex built-in difficulties in 16 cases out to do a retrospective analysis of clinical data, and reported the following. 1 Materials and methods 1.1 General Information In this group in May 2000 ~ May 2008-row implant removal surgery, intraoperative difficulties in removal occurred in 16 patients, 10 males and 6 females. Screw them difficult to spin out of 6 cases, 4 cases of broken screws, wire out the d