Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Systemic
Abstract number: 25319
IMPLANT REMOVAL IN THE TRAUMATOLOGIC SURGERY
Nikolai ZAGORODNIY, Michael PANIN, Andrei VOLNA, Inar SEIDOV
Peoples Friendship University of Russia, Chair of Traumatology & Orthopaedics,
Moscow (RUSSIA)
Currently, each surgeon solves a problem of the implant removal procedure
differently. Thus the defining moments usually are traditions which have developed in
the concrete clinic, own surgical experience, the quality of the formerly placed
implant, a presence or an absence of the complications after the osteosynthesis.
However, relying on the literary data, about 30-35 % of these operations are
frequently carried on with unforeseen difficulties and even complications. The main
reasons for this are: firstly, an absence of a single attitude towards this problem, and
secondly, a lack of the information about the osteosynthesis, which is very important
for the surgeon who carries on the implant removal operation. Following the
above, on the basis of our own clinical experience, an evaluation of the complications
and the literary analysis, we had developed a concrete indications (absolute and
relative) and contra-indications to the implant removal operations. In order to
adequately prepare for the placed implant removal operation, our aim is to document
in details the technical and anatomical features of the osteosynthesis. This given,
absolutely necessary information in the aggregate with other features of the
osteosynthesis in each concrete patient has given us a ground for the Passport of an
internal fixator, which professionally documents the osteosynthesis. In our opinion,
following the expedient indications or contra-indications and the detailed
documentation of the osteosynthesis allow us to reduce the cases of the
complications in the implant removal process.
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