近节指骨骨折合并肌腱粘连的临床分析及治疗  

Clinical analysis and treatment of proximal interphalangeal fracture complicated with tendon adhesion

作　　者：魏壮[1] 尹维田[1] 刘飙[1] 谢升伟[1] 

机构地区：[1]吉林大学中日联谊医院手外科,吉林长春130033

出　　处：《实用手外科杂志》2004年第4期208-209,共2页Journal of Practical Hand Surgery

摘　　要：目的探讨肌腱松解术治疗近节指骨骨折合并肌腱粘连的临床意义。方法1998年7月～2003年3月,分别对22例近节指骨骨折合并肌腱粘连的患者进行了伸、屈肌腱松解术。结果在22例患者肌腱松解术后,20例(91%)TAM明显改善,2例(9%)TAM无明显改善,其中1例为横行骨折伴肌腱损伤,另1例为粉碎骨折伴肌腱损伤。22例患者术前TAM平均为181.4°,为健侧的67%;术后为227.8°,为健侧的84%,平均提高了46°。结论肌腱松解对于近节指骨骨折合并肌腱粘连是一种有效的方法。Objective To discuss clinical meanings of myotenolysis in treating proximal interphanlangeal fracture complicated with tendon adhesion.Methods We treated 22 cases (proximal interphanlangeal fracture complicated with tendon adhesion)by myotenolysis from July 1998 to March 2003.Results TAM of 20 cases was improved obviously, there was no difference in 2 cases(1 case transverse fracture complicated with tendon injury, 1 case comminuted fracture complicated with tendon injury). Preoperative TAM was 181.4°(67%), postoperative TAM was 227.8°(84%).Conclusion Myotenolysis was an effective way to treat tendon adhesion from proximal interphanlangeal fracture.

关 键 词：近节指骨骨折 肌腱粘连 治疗 分析及 2003年3月 肌腱松解术 肌腱损伤 1998年 临床意义 粉碎骨折 患者 TAM 术后 平均 健侧 

分 类 号：R687.2[医药卫生—骨科学]