METAL REMOVAL IN A PEDIATRIC POPULATION - BENIGN PROCEDURE OR NECESSARY EVIL

被引：44

作者：

SCHMALZRIED, TP ^{[1
]}

GROGAN, TJ ^{[1
]}

NEUMEIER, PA ^{[1
]}

DOREY, FJ ^{[1
]}

机构：

[1] UNIV CALIF LOS ANGELES,SCH MED,HLTH SCI CTR,DIV ORTHOPAED SURG,LOS ANGELES,CA 90024

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 01期

关键词：

Intramedullary rods; Metal removal; Skeletal fixation;

D O I：

10.1097/01241398-199101000-00014

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Thirty-eight percent of patients with internal skeletal fixation had indications for removal other than uncomplicated healing. Plates were removed (p = 0.023) routinely, however, because intramedullary rods and staples were likely to be subcutaneous and painful (p = 0.02). Complications included incomplete removal of the device (7%) and two postoperative fractures. Most complications had no known significant adverse effects on the patients. Operative time and blood loss were significantly increased when a tourniquet could not be used. We believe that the high percentage of other indications for metal removal nd the low incidence of major complications support the practice of routine metal removal in this population.

引用

页码：72 / 76

页数：5

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