手部关节内撕脱骨折的手术治疗  

Surgical treatment of avulsion fractures and intra-articular fractures of the hand

作　　者：贾万新[1] 张兆峰[1] 王永春[1] 黄燮青[1] 蔡媳娴 黄一雄[1] 沈华[1] 章开衡[1] 沈尊理[1] 

机构地区：[1]上海交通大学附属第一人民医院整形外科,211080

出　　处：《中华手外科杂志》2010年第2期74-75,共2页Chinese Journal of Hand Surgery

摘　　要：目的探讨手部关节内撕脱骨折的手术方法和疗效。方法2006年10月至2008年12月，应用骨锚及骨片钉治疗26例手部关节内骨折。结果术后随访2～23个月，所有骨折平均在术后2个月达到骨性愈合，掌指关节和指间关节活动度均达到优良水平。结论应用骨锚及骨片钉固定治疗手部关节内撕脱骨折，操作方法简单，骨折固定确实，疗效可靠。Objective To investigate the surgical methods and outcomes of avulsionn fractures and intraarticular fractures of the hand. Methods Twenty-six intra-articular fractures of the hand in 26 patients were treated with mini anchor and/or fragment pin from October 2006 to December 2008 in our hospital. Applications and results of these types of fractures were analyzed. Results Postoperative follow-up ranged from 2 months to 23 months. Bone union was achieved in all cases after 2 months. Range of motion of the involved metacarpophalangeal and interphalangeal joints was good. Conclusion Satisfactory treatment results can be obtained by mini anchor and/or fragment pin fixation in dorsal or volar avulsion fractures and intra-arficular fractures of the hand. This mothod is simple and effective in fixation of the fractures.

关 键 词：骨折 骨折固定术 内 骨锚 骨片钉 

分 类 号：R687.3[医药卫生—骨科学]