骨科手术中器械断裂的频率及其对患者的影响。
Frequency of instrument breakage during orthopaedic procedures and its effects on patients.
作者信息
Pichler Wolfgang, Mazzurana Peter, Clement Hans, Grechenig Stephan, Mauschitz Renate, Grechenig Wolfgang
机构信息
Department of Traumatology, Medical University of Graz, Auenbruggerplatz 7a, A-8036 Graz, Austria.
出版信息
J Bone Joint Surg Am. 2008 Dec;90(12):2652-4. doi: 10.2106/JBJS.H.00163.
BACKGROUND
While breakage of an orthopaedic instrument is a relatively rare occurrence, orthopaedic surgeons need to be familiar with this complication and how to deal with it. Relatively little information about this subject has been published.
METHODS
Every case of instrument breakage during orthopaedic procedures performed in two hospitals during a two-year period was documented prospectively. All patients were followed for a postoperative period ranging from twelve to thirty-six months, during which radiographs in two planes were made to assess changes in, or migration of, the broken object.
RESULTS
During the observation period, 11,856 surgical procedures were performed in the two hospitals. The overall rate of instrument breakage was 0.35%. The broken piece was removed in five cases, and the broken instrument was left in situ in thirty-seven cases. During the follow-up period, none of the patients had any symptoms.
CONCLUSIONS
In most cases, breakage of an orthopaedic instrument is not a problem. Any instance of instrument breakage should be fully documented in the surgical report.
背景
尽管骨科器械断裂相对少见，但骨科医生需要熟悉这一并发症及其处理方法。关于该主题的公开信息相对较少。
方法
前瞻性记录了两年期间在两家医院进行的骨科手术中发生的每例器械断裂情况。所有患者术后随访12至36个月，期间拍摄两个平面的X线片以评估断裂物体的变化或移位情况。
结果
观察期间，两家医院共进行了11,856例外科手术。器械断裂的总体发生率为0.35%。5例取出了断裂碎片，37例断裂器械留在原位。随访期间，所有患者均无任何症状。
结论
在大多数情况下，骨科器械断裂并非问题。手术报告中应完整记录任何器械断裂情况。
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