闭合复位多点交叉克氏针固定治疗第1掌骨基底部骨折  

Treatment of the first metacarpal base fracture by closed reduction and multi-point cross kirschner wire fixation

作　　者：夏炎[1] 杨国涛[1] 江起庭 

机构地区：[1]丹阳市人民医院骨一科,江苏丹阳212300 [2]南京邦德骨科医院手足外科中心,江苏南京210018 [3]巢湖紫晨手外科医院手外科中心,安徽巢湖238000

出　　处：《实用手外科杂志》2016年第3期335-336,共2页Journal of Practical Hand Surgery

摘　　要：目的：探讨闭合复位多点交叉克氏针固定治疗第1掌骨基底部骨折的临床疗效。方法2008年5月-2014年7月，采用C臂机透视下闭合复位，用多枚克氏针多点交叉固定的方法治疗第1掌骨基底部骨折21例。结果20例患者获得随访，随访时间18~24周，所有骨折均愈合，采用Cannon方法评估关节功能，优12例，良7例，差1例，优良率95%。结论闭合复位多点交叉克氏针固定治疗第1掌骨基底部骨折，操作简便，固定牢靠，是一种较满意的治疗方法。Objective To evaluate the clinical efficacy of using closed reduction and multi-point cross kirschner wire fixation to treat the first metacarpal base fracture. Methods From May 2008 to July 2014, 21 cases with the first metacarpal base fracture were treated by closed reduction and multi-point cross kirschner wire fixation under C-arm X-ray fluoroscopy. Results 20 patients were followed up for 18 to 24 weeks, all fractures healed, and were used Cannon methods to assess the joint function, excellent in 12 cases, good in 7 cases and poor in 1 case, good rate was 95%. Conclusion It is a simple and stable fixation for treating the first metacarpal base fracture, that using closed reduction and multi-point cross kirschner wire fixation, and is a satisfactory method.

关 键 词：闭合复位 第1掌骨基底部骨折 多点交叉克氏针固定 

分 类 号：R683.410.5[医药卫生—骨科学]