摘要
目的 观察石黑法治疗伴撕脱骨折急性闭合性锤状指的疗效。方法回顾性分析2011年6月—2013年6月西安市中心医院骨二科收治的6例伴撕脱骨折的急性闭合性锤状指畸形患者的临床资料。6例患者中男5例、女1例，平均年龄37岁，右手4例、左手2例。应用石黑法进行治疗，术后拍摄x线片明确骨折愈合情况。采用Dargan功能评定法评价术后患指功能。结果手术均顺利完成。术后无针道感染和骨折再移位。6例患者术后随访3～12个月，平均4个月。骨折全部骨性愈合，愈合时间4—8周，平均6周。术后末次随访时，6例锤状指畸形均已矫正，手指外观满意。按Dargan功能评价优3例，良2例，可1例。结论石黑法治疗伴撕脱骨折急性闭合性锤状指畸形．手术微倒．同宗可靠．方法简单．并发症少，是一种值得推广的手术方法．
Objective To observe the clinical results of Ishiguro method in the treatment of acute closed mallet finger accompanied by avulsion fracture. Methods The data of 6 cases with acute closed mallet finger accompanied by avulsion fracture treated from June 2011 to June 2013 in Xian Central hospital were retrospectively analyzed. There were 5 males and 1 female with an average age of 37 years. There were right （4 cases） and left （2 cases）, All the cases were treated by Ishiguro method. X-rays were taken in the regular follow-up to confirm the bone union. The functional recovery was evaluated by using Dargan＇s method. Results Operations were successfully completed. The patients were followed up for 3 - 12 months （averaged 4 months ） , during which no puncture wound infection, displacement of the fracture fragment occurred. Bone union occurred in all cases with roentgenographic evidence during 4 - 8 weeks after operation （averaged 6 weeks）. Mallet defomaity of 6 cases disappeared and satisfactory appearance were achieved. According to Dargan＇s method, the effects of 3 fingers were excellent, 2 were good, and 1 was fair. Conclusions Ishiguro method is an effective procedure in treating closed mallet finger accompanied by avulsion fracture. The procedure is simple, reliable and minimally invasive with few complications. This technique can be advocated in clinical practice.
出处
《中华解剖与临床杂志》
2016年第1期50-52,共3页
Chinese Journal of Anatomy and Clinics
关键词
骨折固定术
骨折
闭合性
锤状指
石黑法
Fractures fixation
Fractures,closed
Mallet finger
Ishiguro method
