交叉克氏针加张力带钢丝内固定治疗掌指骨骨折

目的探讨交叉克氏针张力带钢丝内固定治疗掌指骨骨折的疗效。方法2003年6月至2005年6月，对46例62指掌指骨骨折，应用交叉克氏针张力带钢丝内固定治疗，辅以早期功能锻炼及正确的康复指导。结果术后46例中创口一期愈合43例，3例骨外露，1例骨不连接。术后随访6～12个月，45例骨折全部愈合，X线片显示骨折愈合时间为4～10周，平均6周。按TAM功能评定，优良率达到86％。结论交叉克氏针张力带钢丝内固定治疗掌指骨骨折固定牢固，有利于手功能的恢复。

Cross a gram of surname needle to add tension to take inside the steel wire fox the treatment Zhang point bone bone fracture

Objective The study crosses a gram of surname needle tension to take inside the steel wire fix the treatment Zhang point the curative effect of bone bone fracture. Methods June,2003 points bone bone fracture to 4662 Zhangs to June, 2005 and apply to cross a gram of surname needle tension to take inside the steel wire fix treatment, assist to toughen by the function in earlier period and recovering from illness of exacti-tude instruction. Results 46 after the Shu in once the wound expect to heal 43,3 bone outsides expose,a bone not link. After the Shu with visit for 6-12 months,all of 45 bone fracture heal,X line slice shows that bone frac-ture heals time as 4-10 weeks,average 6 weeks. Press TAM function to assess,the good rate attains 86%. Con-clusion Crosses a gram of surname needle tension to take inside the steel wire fix the treatment Zhang point bone bone fracture to fix firm, be advantageous to the instauration of hand function.