Bednar D A, Grandwilewski W
Department of Surgery, McMaster University, Hamilton, Ont.
Can J Surg. 1992 Aug;35(4):428-31.
Reconstruction of long-bone fractures with compression plates may give rise to stress shielding under the metal plate, which may be associated with late clinical problems due to insufficiency fractures around the implants. Therefore, it is common practice to remove forearm plates after fracture healing is completed. Increasing concern has been expressed recently about the complications and morbidity associated with forearm-implant removal. A retrospective review of the management of 111 forearm diaphyseal fractures at a major Canadian centre confirmed a substantial complication rate in elective forearm-plate removal. Because the true incidence of late insufficiency fracture is not well defined, elective forearm-plate removal may be contraindicated in the asymptomatic patient.
使用加压钢板重建长骨骨折可能会在金属板下方产生应力遮挡，这可能与植入物周围的不全骨折导致的后期临床问题有关。因此，骨折愈合完成后取出前臂钢板是常见的做法。最近，人们越来越关注与前臂植入物取出相关的并发症和发病率。对加拿大一个主要中心111例前臂骨干骨折治疗情况的回顾性研究证实，择期取出前臂钢板的并发症发生率很高。由于晚期不全骨折的真实发生率尚不明确，对于无症状的患者，择期取出前臂钢板可能是禁忌的。
