AO微型纯钛板钉内固定治疗掌指骨关节内骨折  

Treatment of Metacarpal and Phalangeal Intraarticular Fractures with AO Mini Titanium Plate and Nail

作　　者：朴宏鹰[1] 王冠天[1] 

机构地区：[1]大庆油田总医院手外科,黑龙江大庆163001

出　　处：《黑龙江医学》2011年第3期185-186,共2页Heilongjiang Medical Journal

摘　　要：目的探讨微型纯钛板钉内固定治疗掌指骨关节内骨折的技术及疗效。方法对掌指骨关节内骨折,采用早期切开复位、微型纯钛板钉进行内固定治疗,并辅以术后早期功能训练。31例42处骨折中,掌骨骨折26处,其中掌骨头骨折9处,基底部骨折4处,指骨骨折16处,均为指骨基底部骨折。结果术后随访3个月~1年,骨折处完全愈合。按手外科功能评定标准：优指、良指,达到优良率。结论掌指骨关节内骨折,采用微型纯钛金属板钉内固定,治疗效果满意。Objective To study skills and effect of AO mini titanium plate fixation in the treatment of metacarpal and phalangeal intraarticular fracture.Methods The patients with metacarpal and phalangeal intraarticular fractures were treated by early open reduction and AO pure titanium mini plate and nail.Early rehabilitation was carried out postoperatively.Totle 42 cases of metacarpal fractures were observed.Among them,26 cases were metacarpal fractures,with the metacarpal head fracture in 9 cases,with basilar part fractures in 4 cases,with phalange fracture in 16 cases.Results All cases were followed up for 3 months to 1 year after operation.The fractures were healed completely.Functional evaluation were achieved good rate by the hand surgery standard.Conclusion The method of AO mini titanium plate and nail fixation could have good effect in the treatment of Metacarpal and phalangeal intraarticular fractures.

关 键 词：AO微型纯钛板钉 掌骨指骨骨折 内固定 

分 类 号：R683.41[医药卫生—骨科学]