LCP钢并发症的分析.pptVIP

* B.D., 75y 股骨假体周围骨折 * 7 周 * 失败原因 * S.T., 22y, 肱骨干骨折，多发伤 钢板太短 螺钉太少 螺钉太短 * 8 weeks 12 weeks * 单皮质骨螺钉的工作长度 骨质正常 60-70% 3000 N 5mm * 螺钉的工作长度 60-70% 3000 N 5mm 骨松者必须固定双皮质 骨质疏松 * 螺钉选择不当 * 螺钉选择不当 * 68y, 股骨远端骨折 A2型 ? * 11 weeks * * * * * * Screws which were placed too close to the fracture line (ie, gap after unprecise reduction) can lead to implant breakage due stress concentration. To avoid stress concentration leave three or four plate holes without screws. This leads to a longer working length of the plate for elastic deformation of the implant. * * plate pull out * * * * * * A locking hea