| 微型钛板螺钉融合手指近指间关节的临床研究 |
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| 引用本文： | 魏壮,刘飙,刘浩宇,尹维田.微型钛板螺钉融合手指近指间关节的临床研究[J].中华手外科杂志,2009,25(4):283-285. |
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| 作者姓名： | 魏壮 刘飙 刘浩宇 尹维田 |
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| 作者单位： | 吉林大学中日联谊医院手外科,长春,130033; |
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| 摘 要： | 目的 探讨应用微型钛板螺钉融合手指近指间关节的手术疗效.方法 采用塑形后的微型钛板螺钉对29例(44指)男性患者的手指近指间关节进行融合,手术均采用背侧入路.结果 术后29例均获得4～7个月的随访,伤口无感染及皮肤坏死,融合关节临床愈合时间为6～8周,X线片骨性愈合时间为2～3个月,无延迟愈合、骨不连或畸形愈合.结论 本术式操作简单,掌握容易;缩短骨性愈合时间;大大降低骨不连的发生率、畸形愈合率、针道感染及骨髓炎的发病率.
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| 关 键 词： | 内固定器 指关节 关节融合术 |
Clinical study of arthrodesis of the proximal interphalangeal joint with mini-titanium plates and screws |
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| Abstract: | Objective To investigate the surgical effect of proximal interhalangeal joint arthrodesis using mini-titanium plates and screws. Methods The proximal interphalangeal joint of 44 digits in 29 male patients were fused with contoured mini-titanium plates and screws.All the arthrodesis was done via a dorsal approach. Results All 29 patients were followed up for 4 to 7 months.There were no infection and skin necrosis.Clinical union of the arthrodesis took 6 to 8 weeks,while bony union on X-ray was achieved by 2 to 3 months.No delayed union,nonunion or deformed union was seen. Conclusion This surgical procedure is straight forward and easy to master.It reduces bony union time,incidence of nonunion,malunion,needle track infection and osteomyelitis. |
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| Keywords: | Internal fixatorsFinger jointArthwdesis |
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