摘要
目的对骨性锤状指损伤的不同类型采用抽出钢丝法或Ishiguro法治疗并评估其临床疗效。方法2008年1月-2009年1月，对25例骨性锤状指患者按照Wehbe和Schneider对骨性锤状指的分型方法分型后，应用以上两种手术方法及改良术式进行治疗。13例ⅠA型和2例ⅠB型用抽出钢丝法治疗，将钢丝外露部分的固定方法进行改进；5例ⅠB型，5例Ⅱ型用Ishiguro法治疗；其中对5例复位困难的病例，采用切开复位后用类似Ishiguro法的克氏针阻挡固定。结果术后患者均获得7月～1年的随访，平均10个月。25例骨折均愈合，愈合率100％。按Patal标准从关节活动度、疼痛、外形方面评定疗效，优12例，良7例，可5例，差1例。全组优良率76％。结论根据骨性锤状指的不同类型选择相应的治疗方法是获得满意疗效的关键。
Objective According to different types of mallet-finger accompaied by avulsional fracture, treated with method of pull-out wire or Ishiguro, and evaluate the clinical results. Methods From January 2008 to January 2009,25 cases with mallet-finger accompaied by avulsional fracture were classified by Wehbe and Schneider criteria and treated by two types of procedures,13 cases of type Ⅰ A and 2 cases of types Ⅰ B were treated by method of pull-out wire, modified fixation of revealed wire were used in this procedure.5 cases of type Ⅰ B and 5 cases of type Ⅱ were treated with method of Ishiguro. The 5 cases which were difficult in replacing the fracture or subluxation, after open reduction were carried out then fixed the fracture just like the method of Ishiguro. Results All cases were followed-up for an average of 0.8 years （range 0.6-- 1.0 year）.The rate of bone union was 100%.The clinical results were evaluated with Patal criteria. The result were excellent in 12 cases, good in 7 cases, moderate in 5 cases and poor in 1 case, the excellent and good rate was 76%. Conclusion According to different types of mallet-finger accompaied by avulsional fracture, make a choice of the corresponding method of surgical treatment is the key of good outcome.
出处
《实用手外科杂志》
2010年第1期17-20,共4页
Journal of Practical Hand Surgery
关键词
锤状指
撕脱骨折
分型
手术治疗
Mallet-finger
Avulsional fracture
Type
Surgical treatment
