单孔微型钢板内固定治疗第1掌指关节侧副韧带损伤伴骨折  

Internal fixation with one-hole microplate for the treatment of collateral ligament injuries of the metacarpophalangeal joint of the thumb combined with fracture

作　　者：王西迅[1] 孙德弢 陈旭辉 李钧[1] 崔岩[1] 胡继超[1] 舒正华[1] 何健[1] 丁潮琪[1] 陈波[1] 

机构地区：[1]中国人民武装警察部队浙江省总队医院手足显微外科,浙江嘉兴314000 [2]浙江新安国际医院,浙江嘉兴314000

出　　处：《中国骨伤》2015年第3期214-218,共5页China Journal of Orthopaedics and Traumatology

摘　　要：目的 :探讨应用单孔微型钢板内固定治疗第1掌指关节侧副韧带损伤伴骨折的临床效果。方法 :应用单孔微型钢板内固定治疗第1掌指关节侧副韧带损伤伴骨折共22例,男16例,女6例;年龄18~53岁,平均28.5岁。受伤至手术时间2 h^2个月,平均6 d。均为第1掌指关节侧副韧带损伤伴骨折,右手13例,左手9例。闭合伤18例,开放伤4例。新鲜损伤(﹤2周)18例,陈旧损伤(>2周)4例。拇指近节基底尺侧副韧带损伤伴骨折16例,桡侧副韧带损伤伴骨折6例,其中同时伴拇短展肌、拇短屈肌腱止点损伤4例。撕脱骨折块大小为3.0 mm×4.0 mm^6.0 mm×7.0 mm。结果:22例术后切口均Ⅰ期愈合,随访6个月~5年,平均2.5年。根据Saetta等疗效评定标准评价拇指功能,优20例,良2例。结论:应用单孔微型钢板内固定治疗第1掌指关节侧副韧带损伤伴骨折是一种行之有效的方法。Objective： To study clinical effects of one-hole microplate intemal fixation for the treatment of collateral liga- ment injuries of the metacarpophalangeal joint of the thumb combined with fracture. Methods ：Twenty-two patients （ 16 males, 6 females） with collateral ligament injuries of the metacarpophalangeal joint of the thumb combined fracture were treated with one-hole microplate internal fixation. The age of the patients ranged from 18 to 53 years old with a mean age of 28.5 years old. The duration from injury to surgery ranged from 2 hours to 2 months, and the mean time was 6 days. All the patients had collat- eral ligament injuries combined with fracture of the metaearpophalangeal joint of the thumb. Thirteen patients had injuries in the fight hand and 9 patients had injuries in the left hand. There were 18 cases of closed wound and 4 cases of open wound. Eighteen patients had fresh injuries （〈2 weeks） and 4 had old injuries （〉2 weeks）. Sixteen patients had injuries in the ulnar collateral ligament of the thumb combined with fracture, 6 patients had radial collateral ligament injuries of the thumb com- bined with fracture, 4 cases of which were complicated with injuries of abductor pollicis brevis and the end of the flexor pollicis brevis tender. The size of the avulsed fragment was about 3.0 mm×4.0 mm to 6.0 mm×7.0 mm. Results：The incisions of 22 pa- tients healed by first intention. The follow-up periods ranged from 6 months to 5 years old, with an average of 2.5 years old. The thumb function was evaluated by Saetta and other evaluation criteria, and 20 patients got an excellent result and 2 good. Con- clusion：The application of one-hole microplate internal fixation in treating collateral ligament injuries with fracture of the metacarpophalangeal joint of the thumb is an effective method.

关 键 词：指骨 骨折 侧副韧带 内固定器 

分 类 号：R686.505[医药卫生—骨科学]