微创内固定系统治疗膝关节周围骨折失误分析

目的 探讨微创内固定系统治疗膝关节周围骨折失误的原因以及可能出现的并发症.方法 对2013年1月至2015年12月行微创内固定系统治疗膝关节周围骨折患者160例,其中对发生治疗失误的4例患者资料进行回顾性分析,总结出在使用微创内固定系统治疗时的失误原因,同时根据资料提出可能出现的并发症.结果 4例行微创内固定系统治疗的患者中有2例发生股骨螺钉及接骨板断裂,1例发生股骨螺钉松动及接骨板移位,1例发生胫骨骨不连,2次治疗后骨折愈合,患者恢复良好;统计发现出现有皮肤软组织并发症1例,骨折对位不良1例,骨折复位丢失1例以及内固定失败1例.结论 微创内固定系统治疗膝关节周围骨折发生失误的主要原因,是操作医师未正确理解微创内固定系统的理念、原则、手术指征以及操作,也是导致患者并发症发生率升高的主要原因.

Objective To investigate the failure reasons and complications of less invasive stabilization system for treatment of fractures around the knee. Methods From January 2013 to December 2015,the 4 patients treatment failure data were retrospectively analyzed,summed up in the use of less invasive stabilization system for the treatment of mistakes reasons,and proposed possible complications according to the information. Results The 4 patients had a fair result,2 cases of which showed broken screws and plates,1 case showed femoral loosening screws and plates shift, 1 case occurred tibia nonunion fractures,while after the second treatment healing,the patient recovered well. Statistics found that there were skin and soft tissue complications occurred in 1 case,1 case occurred fracture of the bad bits,fractures lost,implant failure. Conclusion Minimally invasive fixation systems around the treatment of knee fractures occur mainly due to mistakes or operating physician invasive stabilization system concepts, principles,indications for surgery and the operation is not properly understood,also contributes to the incidence of complications in patients up the main reason for the high.