摘要
目的:传统对锤状指手术治疗主要是通过抽出钢丝法重建伸指肌腱止点或关节融合等方法。观察微型骨锚钉配合中药熏洗恢复关节功能的疗效。方法:选择2006-04/2007-03广州中医药大学第一附属医院创伤骨科的28例锤状指患者,均采用微型Anchor钉重建伸肌腱止点的手术方法并配合中药祛风通络散熏洗治疗。其中男16例,女12例,年龄12～45岁。全部病例均进行临床随访,主要以电话随访和问卷填写的方式,并采用国际上评价手指活动功能常用的Dargan功能评定法评定疗效,分别从患指主动活动范围、关节稳定性及疼痛和影像学检查等评价。结果:①28例患者全部得到随访,随访时间为3～7个月,平均4个月。②本组病例伤口除1例患者切口皮肤边缘变黑外均顺利愈合,该患者2周后皮肤愈合,本组患者术后平均9 d出院。③术后按Dargan方法评定主动活动范围:优25例,良2例,可1例。④全部患者于术后6周左右复查X线片均未见骨锚松动、脱落。全部患者在术后8周远侧指间关节活动自如,均获得满意结果。结论:使用Anchor钉重建伸肌腱止点手术治疗锤状指,具有操作简便、易于掌握的优点,再加上中药熏洗促进术后功能恢复,疗效可靠。
AIM： Steel wire for the rebuilding of terminal extensor tendon insertion or joint fusion is the traditional method for mallet fingers. In this study, the curative effect of reconstruction of terminal extensor tendon insertion by mini bone rivet and Chinese traditional medicine was investigated.
METHODS： Twenty-eight patients with mallet fingers including 16 males and 12 females, aged 12 to 45 years old, who were treated by using Mitek Mini Anchor and Qufengtongluo Powder from April 2006 to March 2007 in the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, were selected. The patients were all followed up by telephone and questionnaire and evaluated by the Dargan scales that were used worldwide. The movement, stableness, pain and radiograph of the fingers were also evaluated.
RESULTS： ①Twenty-eight patients were all followed for 3-7 months with an average of 4 months after surgery. ②Only one patient had dermal problem but finally healed 2 weeks later. All patients left the hospital about 9 days after surgery. ③According to Dargan scales, the result was excellent in 25, good in 2, and fine in 1. ④Radiograph showed that no loosening or defluxion was found in anchor 6 weeks after operation. And the function of distal interphalangeal joint of all patients recovered well at 8 weeks after operation.
CONCLUSION： Mitek Mini anchor is easy and simple to rebuild the terminal extensor tendon insertion for the treatment of mallet fingers. With the assistance of fumigation and washing with Chinese medicine, the result is reliable.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2007年第47期9581-9583,共3页
Journal of Clinical Rehabilitative Tissue Engineering Research
