摘要
目的总结利用经皮闭合穿针治疗新鲜掌板撕脱骨折的经验，为临床治疗掌板撕脱骨折提供可靠、有效的治疗方法。方法2002-2007年，对6例掌板撕脱骨折的患者，在局部麻醉下经皮闭合穿针内固定方法进行治疗。6例均为近侧指间关节中节指骨基底撕脱骨折。受伤至手术的时间为1—8d，平均3．5d。结果术后随访时间为3个月至5年3个月，平均1年5个月。6例患者均于术后6—8周（平均6．8周）达到骨折愈合。患指经功能锻炼后，术后均无静息痛，近侧指间关节屈曲为78°～100°（平均83．5°），伸直0°～10°（平均-6．5°）。结论经皮（屈曲阻挡，Flexuon blocking）闭合穿针内固定是一种治疗手指近侧指间关节掌板撕脱骨折可靠、有效的方法。
Objective To summarize the experience of treating acute volar plate avulsion fracture by percutaneous pin fixation, investigate its feasibility and effectiveness, and provide a reliable and effective treatment method for acute volar plate avulsion fractures. Methods From 2002 to 2007, 6 patients with acute volar plate avulsion fractures were treated surgically by percutaneous pin fixation under regional anesthesia. There were 4 men and 2 women with an average age of 26 years. Among them, 2 index fingers, 2 long fingers, 1 ring finger and 1 little finger were involved. The cause of the injury was sports injury in 4 cases, accident in 1 case, and forceful twisting in 1 case. Duration from injury to operation ranged from 1 to 8 days with an average of 3.5 days. Follow-up period ranged from 3 months to 5 years and 3 months, with an average of 1 year and 5 months. All 6 cases sustained avulsion fractures of middle phalanx base at the proximal interphalangeal （PIP） joint. Results All the patients achieved bone union at mean 6.8 weeks （ range, 6 to 8 weeks ） postoperatively. After rehabilitation PIP joint flexion reached 78° to 100° （ average 83.5° ） while PIP joint extension was 0° to - 10° （ average - 6.5 °） . No static pain was found among those patients and they were all satisfied with their treatment outcome. Conclusion Perecutaneous flexion blocking pin fixation was a reliable and effective treatment method for acute volar plate avulsion fractures.
出处
《中华手外科杂志》
CSCD
北大核心
2008年第3期151-153,共3页
Chinese Journal of Hand Surgery
基金
本课题受笹川医学奖学金资助（2904）
关键词
骨折
骨折固定术
内
治疗结果
掌板
Fractures, bone
Fracture fixation,internal
Treatment outcome
Volar plate
