克氏针卡压固定治疗指骨末节基底背侧撕脱骨折

目的：介绍一种应用克氏针卡压固定末节指骨背侧撕脱骨折的手术方法。方法对14例14指末节指骨基底背侧撕脱骨折，采用切开复位，末节指骨过伸固定远指关节，克氏针斜形卡压撕脱骨块的方法，术后撕脱骨块均达解剖复位，6周拔除克氏针作主被动功能锻炼。结果术后随访3~6个月经TAM评定：优11例，良3例。结论骨折全部早期愈合，采用克氏针卡压固定末节基底背侧骨折，能有效治疗骨性锤状指畸形，具有手术操作简单、创伤小、疗效满意等优点。

Application of krischner wire fixation in the treatment of basal and dorsal avulsion fracture in phalangette

Objective To introduce one surgical method of applying Krischner wires fixation in the basal and dorsal avulsion fracture in phalangette. Methods Krischner wires were put obliquely in 14 cases of patients with basal and dorsal avulsion facture in phalangette to restore the fracture after open reduction and making the phalangette pass thourgh distal phalangeal joint. All the cases were successful and removed the Krischner wires in week six. Then they received functional rehabilitaion. Results All the patients were followed up for 3 to 6 months and the TAM evaluation showed excellent results in 11 cases and good results in 3 cases. Conclusion Krischner wire fixation in the basal and dorsal avulsion fracture in phalangette is very effective in the treatment of bony mallet finger with the advantages of simplicity of manipulation, micro-invasion, and satisfactory effect.