Wagoner Matthew R, Creech Corine L, Nolan Christine K, Meyr Andrew J
Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania.
Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania
Foot Ankle Spec. 2015 Aug;8(4):305-13. doi: 10.1177/1938640015585964. Epub 2015 May 8.
This pictorial review presents basic principles of the types of hardware extraction commonly encountered in foot and ankle surgical practice. We review the indications, contraindications and complications of hardware removal including pain, intra-articular fixation, and carcinogenesis, as well as special considerations in pediatric patients and in the setting of infection. Figures are then used to describe the appropriate techniques for use of the screwdriver shafts, conical extraction screws, extraction bolts, hollow reamers, and other instruments found in most hardware extraction sets.
Therapeutic, Level V: Expert opinion.
本图片综述介绍了足踝外科手术中常见的各类内固定取出的基本原则。我们回顾了取出内固定的适应证、禁忌证和并发症,包括疼痛、关节内固定及致癌作用,以及儿科患者和感染情况下的特殊注意事项。随后通过图片描述了使用螺丝刀杆、锥形取出螺钉、取出螺栓、空心铰刀及大多数内固定取出套件中其他器械的合适技术。
治疗性,V级:专家意见。