Plate fixation of long bone fracture healing after the non-solid state.doc

 PAGE \* MERGEFORMAT 6 Plate fixation of long bone fracture healing after the non-solid state Authors: Zhen-Dong Liu, MA Meng-yin, TIAN Guan-yu, Zhang Lie, Wang Construction [Keywords:] Fracture For a long time, some limbs, removal of internal fixation of long bone fracture after the fracture has been plagued by another orthopedic surgeon, for which, the author with a group of hospital medical records were analyzed retrospectively to explore the available evidence indicates that the problem will not re-fracture simply attributed to the healing of miscalculation or lack of clinical fixed time. A clinical data Case is incomplete in this group of non-continuous data, a total of 13 patients, 12 males and 1 female. 14-year-old in 1 case, the rest of the age of 23 to 64 years. Inclusion criteria as follows: plate fixation of long bone fractures of the limbs, fixed for more than 14 months, taken after the plate in the absence of severe trauma cases, re-fracture occurred, or callus has been clear through the fracture line, but there is healing defects (such as part of the the fracture line does not disappear, or the local density inequality, trabecular bone disorder, etc.). One of femoral shaft fractures in this group to take steel re-fracture in 5 cases, respectively, by the middle or lower femur simple transverse or short oblique segment fracture, time of occurrence were obtained within 4 weeks after plate, all were re-fracture through the original fracture line. Fixed-time 14 months in 1 case, 18 months in 2 cases, 22 months in 1 case, 4 years in 1 case. X-ray film showed healing of femoral defects in three cases of plate fixation, including bone healing in 1 case, 2 cases of taking steel to be used after braces and crutches to protect not occurred re-fracture. Humeral plate to take one cases of re-fracture surgery, the healing defects in 1 case out-patient cases. Re-fracture of tibia 1 case, X-ray film for the middle section just a short oblique fracture,