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一例应用镁基无头骨螺钉的部分腕关节融合术植入失败病例

A Case of Implant Failure in Partial Wrist Fusion Applying Magnesium-Based Headless Bone Screws.

作者信息

Wichelhaus Alice, Emmerich Judith, Mittlmeier Thomas

机构信息

Department of Trauma, Hand and Reconstructive Surgery, University Faculty of Medicine Rostock, Schillingallee 35, 18057 Rostock, Germany.

出版信息

Case Rep Orthop. 2016;2016:7049130. doi: 10.1155/2016/7049130. Epub 2016 Oct 5.

Abstract

This article presents a case of implant failure resulting in mechanical instability of a scaphotrapezotrapezoideal arthrodesis using magnesium-based headless bone screws. During revision surgery osteolysis surrounding the screws was observed as well as degraded screw threads already in existence at 6 weeks after implantation. The supposed osseous integration attributed to magnesium-based screws could not be reproduced in this particular case. Thus, it can be reasoned that the use of magnesium-based screws for partial wrist arthrodesis cannot be encouraged, at least not in dual use.

摘要

本文介绍了一例使用镁基无头骨螺钉的舟大多角小多角关节融合术因植入失败导致机械不稳定的病例。在翻修手术中,观察到螺钉周围的骨质溶解以及植入后6周就已出现的螺钉螺纹降解。在这个特殊病例中,并未重现镁基螺钉本应具备的骨整合效果。因此,可以推断,至少在双重用途方面,不鼓励使用镁基螺钉进行部分腕关节融合术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af3/5069367/5dd229492f85/CRIOR2016-7049130.001.jpg

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