Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck, Austria.
Arch Orthop Trauma Surg. 2011 Sep;131(9):1279-82. doi: 10.1007/s00402-011-1300-y. Epub 2011 Apr 2.
Complications while removing implants are quite common. In rare cases screw shanks must be left in situ. We present a case of a 38-year-old patient who was treated using a palmar locking plate for a distal radius fracture. After implant removal, one of the screw shanks left in situ penetrated the dorsal cortex of the distal radius into the third extensor tendon compartment and led to irritation of the extensor pollicis longus tendon. We report the unexpected complication and analysis of possible errors of this case to avoid this kind of complication.
在取出植入物时，出现并发症是很常见的。在极少数情况下，螺丝钉杆必须留在原位。我们报告了 1 例 38 岁患者，因桡骨远端骨折使用掌侧锁定板治疗。在取出植入物后，其中 1 根留在原位的螺丝钉杆穿透桡骨远端背侧皮质进入第 3 伸肌腱鞘，导致拇长展肌腱受到刺激。我们报告了这种意外并发症，并对该病例可能出现的错误进行了分析，以避免这种并发症的发生。
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