AO微型钢板治疗手部掌指骨骨折的疗效分析

目的 研究应用AO微型钢板内固定治疗手部骨折的疗效。方法 对手部掌、指骨骨折23例30处行切开复位，AO微型钢板内固定治疗。结果 术后外固定时间为2～3周，随访2～10个月，骨折全部愈合，伤手掌指关节和指间关节伸屈功能恢复正常。结论 AO微型钢板内固定治疗手部骨折可缩短术后外固定时间，早期进行功能锻炼，有利于患手功能恢复，是治疗手部骨折较为理想的方法。

Internal fixation with AO mini-plate for treatment of hand fractures

Objective To study the treatment outcome of internal fixation with AO mini-plate in the treatment of hand fractures. Methods From Jan. 2002 to Jan. 2003, open reduction and internal fixation with AO mini-plate were done in 23 cases of metacapal and phalanx fracture (30 lesions). Results External fixation lasted 2-3 weeks. Postoperative follow-up duration ranged from 2 to 10 months. All the fracture union was obtained. The function of flexion and extension of metacarpophalangeal and interphalangeal joints were achieved satisfactorily. Conclusion Internal fixation with AO mini-plate in treatment of hand fracture can shorten the time of postoperative external fixation, and in combination with early rehabilitation can obtain satisfactory treatment outcome. It is an optimal strategy for hand fracture.