单指反向牵引外固定架在指骨关节内粉碎性骨折中的应用  

Application of single finger opposite direction traction external fixator in the treatment of intraartlcular comminuted fractures of the fingers

作　　者：李春江[1] 李刚[1] 李文宏[1] 甘洪全[2] 唐山市工人医院 

机构地区：[1]唐山市第二医院手外一科河北联合大学医学院附属骨科医院,河北063000 [2]河北联合大学骨科研究所 [3]胡建威

出　　处：《中华手外科杂志》2011年第5期294-296,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨单指反向牵引外固定架用于指骨关节内粉碎性骨折的治疗及体会。方法2003年1月至2009年11月，采用自制单指反向牵引外固定架治疗手部指骨关节内粉碎性骨折35例。结果术后35例随访期间无针道感染及手指坏死发生，骨折愈合时间3—6周，无骨不连及骨髓炎并发症。术后随访平均时间为12．5个月，根据1975年美国手外科学会推荐的手指总的主动活动度（total active move-ment，TAM）系统评定方法评定：优19例，良15例，可1例，差0例，优良率为97．14％。结论单指反向牵引外固定架结构简单，制作方便实用，固定指骨稳定，特别是对指骨关节内的粉碎性骨折有良好的复位及固定作用，临床可以推广应用。Objective To explore the experience and understanding of the treatment of intraarticular comminuted fractures of the fingers using single finger opposite direction traction external fixator. Methods Single finger opposite direction traction external fixator was applied to treat 35 cases of intraarfieular comminuted fractures of the fingers from January 2003 to November 2009. Restdts All 35 cases were follow-up for an average of 12.5 months. During the fonow-up, no pin hole infection and finger necrosis were noticed. Fracture union time ranged from 3 to 6 weeks. There were no complications such as nonunion or osteomyelitis. According to the toud active movement evaluation system （TAM system） introduced by the American Society for Surgery of the Hand in 1975, the results of this series were excellent in 19 cases, good in 15 cases and fair in 1 case. The good rate was 97.14%. Conclusion Single finger opposite direction traction external fixator has simple design and is easy to construct. It can achieve stable fixation particularly in the reduction and fixation of intraarticular comminuted fractures of the fingers. We recommend its wide clinical application.

关 键 词：指骨 外固定器 骨折 粉碎性 关节 

分 类 号：R687.3[医药卫生—骨科学]