克氏针联合抗菌薇乔线治疗伸肌腱近止点处断裂  

Kirschner wire fixation combined with coated vicrylplus antibacterial suture repair in the treatment of mallet fingers

作　　者：许伟斌 郑松 陈斌 刘明 徐竹 

机构地区：[1]嘉兴市第二医院骨科,浙江嘉兴314000

出　　处：《临床骨科杂志》2015年第4期489-491,共3页Journal of Clinical Orthopaedics

摘　　要：目的评估克氏针联合抗菌薇乔线治疗伸肌腱近止点处断裂伤的临床疗效。方法应用多种手术方法治疗伸肌腱近止点处断裂伤73例,其中克氏针联合抗菌薇乔线背伸固定法(A组)23例,克氏针背伸固定法(B组)14例,钢丝抽拉固定止点重建法(C组)21例,微型锚钉止点重建法(D组)15例。对4组的术后功能、术后并发症、手术方案的优、缺点进行评价,并评估手术效果。结果 A组术后功能优良率高于B、C组(P<0.01),术后并发症低于B、C组(P<0.05),手术时间短于C、D组(P<0.01),住院总费用低于D组(P<0.01)。结论应用克氏针联合抗菌薇乔线治疗伸肌腱近止点处断裂伤,操作简单,复发率低,并发症少,节省费用,疗效满意。Objective To evaluate the clinical efficacy of Kirschner wire fixation combined with coated vicrylplus an-tibacterial suture repair in the treatment of mallet fingers. Methods Various operation methods were used in the treatment of extensor tendon insertion rupture in 73 cases. 23 patients were treated with Kirschner wire fixation com-bined with coated vicrylplus antibacterial suture repair （ group A） , 14 patients were treated with Kirschner wire fixa-tion（ group B） , 21 patients were treated with pulling out wire（ group C） , 15 patients were treated with micro-anchor repair（group D）. The postoperative function, postoperative complications, operation scheme evaluation were com-pared among four groups, and the effect of operation were evaluated. Results Compared with group B, C and D, Group A got better results：the postoperative excellent-good rate of function was higher than that of group B and C（ P〈0. 01）, the postoperative complications was lower than that of group B and C（P〈0. 05）, the operation time was shorter than group C and D（P〈0. 01）,lower than group D in terms of the total hospitalization expanses（P〈0. 01）. Conclusions Application of Kirschner wire fixation combined with coated vicrylplus antibacterial suture repair is a simple way in the treatment of mallet fingers, which can save cost, and the result is reliable.

关 键 词：伸肌腱断裂 锤状指 抗菌薇乔线 功能重建 

分 类 号：R686.1[医药卫生—骨科学] R687.2[医药卫生—外科学]