改良微型骨锚钉结合克氏针治疗伸肌腱止点断裂  

Clinical effect of modified mini bone anchor combined with Kirschner wire fixation for treatment of extensor tendon insertion

作　　者：金光哲[1] 巨积辉[1] 王凯[1] 张广亮[1] 邓伟[1] 

机构地区：[1]苏州大学附属瑞华医院手外科,江苏苏州215104

出　　处：《实用手外科杂志》2016年第1期65-67,共3页Journal of Practical Hand Surgery

摘　　要：目的 探讨改良骨锚钉结合克氏针重建指伸肌腱止点的临床疗效。方法对2012-2014年收治的20例22指指伸肌腱止点断裂患者采用改良骨锚钉结合克氏针的方法重建伸肌腱止点。结果本组术后随访3～12个月，术区无皮肤坏死，无皮下缝线外露，无针道感染，术后X线片未见锚钉松动及脱落。按TAM系统评定法评定：优15指。良7指。结论改良微型骨锚钉结合克氏针用于修复拇手指指伸肌腱止点断裂，操作简单，易于掌握，疗效可靠，有效避免了并发症的发生。Objective To discuss the clinical effect of modified mini bone anchor combined with Kirschner wire fixation for reconstruction of extensor tendon insertion. Methods 20 patients with extensor tendon insertion ruptures of 22 fingers were treated by modified mitek bone anchor combined with Kirschner wire fixation. Results Patients were followed up from 3 months to 12 months. No obvious cutaneous necrosis, thread visible outside and pin infection occurred in the operative site. Postoperative X-ray confirmed that no mitek bone anchor became loose or slippery. The functional results assessed by TAM Standard were excellent in 15 cases, and good in 7 cases. Conclusion It is a simple and effective way to repair extensor tendon insertion using modified mini bone anchor combined with kirschner wire fixation for reconstruction of extensor tendon insertion. The method was easy to master without severe complications.

关 键 词：指伸肌腱 伸肌腱止点 微型骨锚钉 重建 

分 类 号：R683.41[医药卫生—骨科学]