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末节指骨基底背侧撕脱骨折的手术治疗
引用本文:吴克俭,王富,张伟佳,侯树勋,张建.末节指骨基底背侧撕脱骨折的手术治疗[J].中华手外科杂志,2004,20(3):169-170.
作者姓名:吴克俭  王富  张伟佳  侯树勋  张建
作者单位:100037,北京,解放军三Ο四医院骨科
摘    要:目的介绍应用克氏针和抽出钢丝固定末节指骨背侧撕脱骨折的手术方法。方法对21例末节指骨背侧撕脱骨折,采用切开复位,末节指骨过伸位,顺行或逆行穿入克氏针,再加抽出钢丝加强撕脱骨块固定的方法。术后撕脱骨折全部解剖复位。4周拔除克氏针,6周拔出钢丝。结果术后随访3个月,按TAM法评定疗效:优16例,良5例,优良率达100%。骨折全部愈合。结论采用克氏针和抽出钢丝固定末节指骨背侧撕脱骨折,能有效治疗锤状指畸形,手术方法简便,疗效满意。

关 键 词:指骨  末节  撕脱骨折  克氏针  钢丝固定  手术方法  手术治疗  结论  目的  应用
修稿时间:2003年12月19

Surgical treatment of avulsed fracture of at dorsal base distal phalanx
WU Ke-jian,WANG Fu,ZHANG Wei-jia,et al..Surgical treatment of avulsed fracture of at dorsal base distal phalanx[J].Chinses Journal of Hand Surgery,2004,20(3):169-170.
Authors:WU Ke-jian  WANG Fu  ZHANG Wei-jia  
Institution:WU Ke-jian,WANG Fu,ZHANG Wei-jia,et al. Department of Orthopedics,304th Hospital,Beijing 100037,China
Abstract:Objective To introduce the procedure of K-wire and drawn-out steel wire in treatment of mallet facture. Methods Open reduction was done in 21 cases of mallet facture. The distal phalanx was put into over-extension position. A small K-wire was placed across the distal joint anterogradely or reversely and then the fragment was tightened by a monofilament stainless steel wire. Anatomical reduction was obtained after surgery. The K-wire was pull out at 4 weeks, and steel wire at 6 weeks. Results The postoperative follow-up were 3 months. According to the TAMs, the results were satisfactory in 16 cases, good in 5 cases, with satisfactory and good rate 100%. All fracture healed. Conclusion Using K-wire and drawn-out steel wire in treatment of avulsed fracture of at dorsal base distal phalanx can have satisfactory treatment outcome in mallet facture, with a simple procedure and good outcome.
Keywords:Fractures  Reconstructive surgical procedures  Treatment outcome
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