查詢結果分析
相關文獻
- Braided Polyester Suture Fatigue Failure When Treating Transverse Patellar Fracture : A Case Report
- Salvage Procedures for Failed Compression Hip Screw Fixation of Intertrochanteric Femoral Fractures: Analysis of 50 Cases
- 臺灣髖部骨折病人手術失敗率之分析--以人口為基礎的世代研究
- 徒手整復外固定治療髕骨骨折
- 固定匯率發鈔制能挽救俄羅斯嗎?
- 原型及固定化乳糖酶在乳糖水解過程中寡糖形成之比較
- Spinal Fusion and Pedicle Screw Instrumentation in the Treatment of Spondylolisthesis Over the Age of 60
- Detection of Oligocolonal Bands in Patients with Neurologic Diseases: Comparison between Agarose Gel-,Immunofixation-and Isoelectric-Focusing Electrophoresis
- 協助氣管內插管、固定及拔管護理
- Treatment of High-Strength Nitrate Wastewater in Different Biological Denitrification Systems
頁籤選單縮合
題 名 | Braided Polyester Suture Fatigue Failure When Treating Transverse Patellar Fracture : A Case Report=使用聚酯縫線固定橫向髕骨骨折失效 : 病例報告 |
---|---|
作 者 | 林政立; 張志偉; 張志涵; 楊俊佑; | 書刊名 | Chung Shan Medical Journal |
卷 期 | 22:3 2011.09[民100.09] |
頁 次 | 頁381-385 |
分類號 | 416.26 |
關鍵詞 | 髕骨骨折; 不可吸收聚酯; 固定; 失敗; Ethibond 縫線; Patellar fracture; Non-absorbable polyester; Fixation; Failure; Ethibond suture; |
語 文 | 英文(English) |
中文摘要 | 髕骨骨折約佔所有骨折的1%,常需要手術治療。最近,有人開始主張在特定骨折的內固定處理(包括髕骨和尺骨鷹嘴骨折)以不吸收聚酯縫線取代傳統的不銹鋼絲。這些材料被認為具有足夠的強度與方便使用的優點,但有限的研究規模甚至和使用所需求的操作經驗,使得應用此新固定方法於例行的骨折處理受到爭議。目前文獻中,較少有相關報告描述使用非金屬縫線固定的併發症。在此,我們報告一個使用Ethibond聚酯縫線固定橫向髕骨骨折失敗的病例。探討失敗原因為用於固定的迴圈數目不足和不當的繩結固定以致縫線無法負荷來自日常活動的反覆承載。為達骨折癒合所需的穩定結構,我們建議外科醫師在處理類似骨折時,應考量所使用固定材料的力學性質與相對應的手術技巧,減少後來的固定失敗。 |
英文摘要 | Patellar fractures account for 1% of all skeletal fractures and frequently require surgical intervention. Recently, non-absorbable polyester sutures have been advocated as good substitutes for stainless steel wire in certain fracture fixations, including patellar and olecranon fractures. They are said to be strong and have some advantages over conventional stainless steel wire. However, limited study scale and even experiences required in manipulation make it controversial to routinely use this relatively new method for fracture fixation. There are few reports describing complications with their use. Herein, we report a case of failed fixation using Ethibond sutures in a transverse patellar fracture. The sutures failed to sustain the repetitive loads of daily activities because of too few loops and inadequate knotting. Considering a stable and secure construct is prerequisite to bony union, surgeons should be knowledgeable of mechanical properties of these materials they use and the corresponding surgical techniques needed to avoid later fixation failure. |
本系統中英文摘要資訊取自各篇刊載內容。