THE CASE AGAINST ROUTINE METAL REMOVAL

被引：66

作者：

KAHLE, WK ^{[1
]}

机构：

[1] CHILDRENS HOSP,RICHMOND,VA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1994年 / 14卷 / 02期

关键词：

HARDWARE; IMPLANT; INTERNAL FIXATION DEVICE; METAL REMOVAL; METAL RETENTION;

D O I：

10.1097/01241398-199403000-00019

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：

Metal removal is one of the most commonly performed operations in pediatric orthopedics. Many of these operations are performed electively in asymptomatic patients. In a retrospective study of 138 patients who had metal removal operations, the indication for surgery was uncomplicated healing in 69%. The overall complication rate was 13%, including incomplete removal in 7% and refracture in 1.4% after metal removal. Operations to remove metal from the proximal femur were associated with the highest complication rates, especially in patients with slipped capital femoral epiphysis. In a comparison of the risks associated with metal removal operations and the risks of long-term metal retention, little evidence was found to support a policy of routinely removing asymptomatic implants after the completion of bone healing.

引用

页码：229 / 237

页数：9

共 123 条

[1]

Amis A., Bromage J., Larvin M., Fatigue fracture of a femoral sliding compression screw-plate device after bone union, Biomaterials, 8, pp. 153-157, (1987)

[2]

Anderson L., Sick D., Toms R., Park W., Compression-plate fixation in acute diaphyseal fractures of the radius and ulna, J Bone Joint Surg [Am], 57, pp. 287-297, (1975)

[3]

Apley G., Malignancy and joint replacement: The tip of an iceberg?, J Bone Joint Surg [Br], 71, (1989)

[4]

Arden G., Bywaters E., Tissue reaction, Surgical Management in Juvenile Chronic Polyarthritis, pp. 269-270, (1978)

[5]

Bago-Granell J., Aquirre-Cangadell M., Nardi J., Tallada N., Malignant fibrous histiocytoma of bone at the site of a total hip arthroplasty, J Bone Joint Surg [Br], 66, pp. 38-40, (1984)

[6]

Bartolozzi A., Black J., Chromium concentrations in serum, blood clot and urine from patients following total hip arthroplasty, Biomaterials, 6, pp. 2-8, (1985)

[7]

Bauer T., Manley M., Stern L., Martin A., Marks K., Osteosarcoma at the site of total hip replacement, Transactions of the 13Th Annual Meeting of the Society for Biomaterials, (1987)

[8]

Black J., Does corrosion matter?, J Bone Joint Surg [Br], 70, pp. 517-520, (1988)

[9]

Black J., Metallic ion release and its relationship to oncogenesis, Proceedings of the Thirteenth Open Scientific Meeting of the Hip. St, pp. 199-213, (1986)

[10]

Black J., Maiten E., Gelman H., Morris D., Serum concentrations of chromium, cobalt, and nickel after total hip replacement: A six month study, Biomaterials, 4, pp. 160-164, (1983)

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