Sanderson P L, Ryan W, Turner P G
Department of Traumatic and Orthopaedic Surgery, Stockport Infirmary, UK.
Injury. 1992;23(1):29-30. doi: 10.1016/0020-1383(92)90121-8.
A total of 188 patients who had metalwork removed were reviewed. There was an overall 20 per cent complication rate. The highest complication rate of 42 per cent was seen with forearm fractures. Infection was the most common complication, and was particularly high in those fractures which were originally open (43 per cent) and where infection developed after the initial internal fixation (32 per cent). We suggest using prophylactic antibiotics for these two groups. All nerve injuries were permanent and were produced by junior surgeons.
对188例取出金属内固定物的患者进行了回顾性研究。总体并发症发生率为20%。前臂骨折的并发症发生率最高，为42%。感染是最常见的并发症，在最初为开放性骨折的患者中感染率特别高（43%），以及在初次内固定后发生感染的患者中也较高（32%）。我们建议对这两组患者使用预防性抗生素。所有神经损伤均为永久性损伤，且均由低年资外科医生造成。
