双柱型肱骨远端骨折的钢板螺钉固定：与植入物松动、断裂或骨不连相关的因素
Plate and Screw Fixation of Bicolumnar Distal Humerus Fractures: Factors Associated With Loosening or Breakage of Implants or Nonunion.
作者信息
Claessen Femke M A P, Braun Yvonne, Peters Rinne M, Kolovich Gregory P, Ring David
机构信息
Department of Hand Surgery, Massachusetts General Hospital, Boston, MA.
Department of Hand Surgery, Massachusetts General Hospital, Boston, MA.
出版信息
J Hand Surg Am. 2015 Oct;40(10):2045-2051.e2. doi: 10.1016/j.jhsa.2015.07.009. Epub 2015 Aug 28.
PURPOSE
To identify factors associated with reoperation for early loosening or breakage of implants or nonunion after operative treatment of AO type C distal humerus fractures.
METHODS
We retrospectively analyzed 129 adult patients who had operative treatment of an isolated AO type C distal humerus fracture at 1 of 5 hospitals to determine factors associated with reoperation for early loosening or breakage of implants or nonunion.
RESULTS
Within 6 months of original fixation, 16 of 129 fractures (12%) required reoperation for loosening or breakage of implants (n = 8) or nonunion (n = 8). In bivariate analyses, the Charlson comorbidity index, smoking, a coded diagnosis of obesity, diabetes mellitus, and radiographic osteoarthritis were significantly associated with reoperation for early loosening or breakage of implants or nonunion.
CONCLUSIONS
With the numbers available, patient factors rather than technical factors were associated with reoperation for loosening or breakage of implants and nonunion. Because of the relative infrequency of fixation problems and nonunion, a much larger study is needed to address technical deficiencies.
目的
确定与AO C型肱骨远端骨折手术治疗后因植入物早期松动或断裂或骨不连而再次手术相关的因素。
方法
我们回顾性分析了在5家医院中的1家接受孤立性AO C型肱骨远端骨折手术治疗的129例成年患者，以确定与因植入物早期松动或断裂或骨不连而再次手术相关的因素。
结果
在初次固定后的6个月内，129例骨折中有16例（12%）因植入物松动或断裂（n = 8）或骨不连（n = 8）而需要再次手术。在二元分析中，查尔森合并症指数、吸烟、肥胖、糖尿病的编码诊断以及影像学骨关节炎与因植入物早期松动或断裂或骨不连而再次手术显著相关。
结论
就现有数据而言，患者因素而非技术因素与因植入物松动或断裂及骨不连而再次手术相关。由于固定问题和骨不连相对少见，需要进行更大规模的研究来解决技术缺陷。
Zotero 插件