主管：中华人民共和国司法部
主办：司法鉴定科学研究院
ISSN 1671-2072  CN 31-1863/N
中国司法鉴定

中国司法鉴定 ›› 2013 ›› Issue (4): 55-57.

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5例内固定取出术后再骨折的因果关系鉴定

施晓玲，李红梅   

  1. 苏州同济司法鉴定所，江苏 苏州 215004
  • 收稿日期:2013-01-09 出版日期:2013-07-15 发布日期:2022-07-11
  • 作者简介:施晓玲（1973-），女，副主任法医师，主要从事法医临床学鉴定。

Forensic Causality Identification of 5 Cases of Re-fracture after Internal Fixation Removal Operation

SHI Xiao-ling, LI Hong-mei   

  1. Suzhou Tongji Institute of Forensic Science, Suzhou 215004, China
  • Received:2013-01-09 Published:2013-07-15 Online:2022-07-11

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被引次数

3

摘要：

目的 分析骨折内固定取出术后再发骨折的原因，探讨再骨折因果关系评定的原则。方法 回顾分析5例骨折内固定取出术后再发骨折的原因及其与原发损伤的因果关系。结果 5例发生再骨折者多为中青年，无过早取内固定的情形，无明显外伤史（1例有轻微外伤）。结论 内固定本身的因素导致骨折处的骨量下降、不恰当的内固定取出时机、不适当的功能锻炼及外伤都是再骨折的可能原因，在因果关系分析时需注意界定一因还是多因形式，并注意区别多因比例。

关键词: 法医临床学, 内固定取出术, 再骨折, 因果关系

Abstract:

Objective To analyze the cause of re-fracture after internal fixation removal operation and explore the principles of causality assessment of re-fracture. Method A retrospective analysis was made to study the causes of 5 cases of re-fracture after internal fixation removal operation and their relations to the original injuries. Results Most objects are of middle age or youth in these 5 cases. They all had the internal fixation device removed on proper time, and had no obvious trauma history （1 case had a slight one）. Conclusion Re-fracture may be caused by bone mass decrease due to the presence of internal fixation device, improper time of internal fixation removal, improper functional training or trauma. Attentions should be paid to define each cause and determine their proportion while analyzing the causality.

Key words: internal fixation removal, re-fracture, causality

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