微型钛网内固定治疗复杂性近节指骨骨折临床分析  

Clinical analysis of the complexity of the proximal phalanx fracture fixation with mini titanium mesh

作　　者：高晓伟[1] 李春江[3] 王美玲[2] 

机构地区：[1]唐山市南堡开发区医院、唐山市第二医院分院外科,河北省唐山063305 [2]唐山市第二医院手外一科,河北省唐山063000 [3]唐山市南堡开发区医院、唐山市第二医院分院药械科,河北省唐山063305

出　　处：《中国基层医药》2016年第23期3650-3652,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨微型钛网内固定治疗复杂性近节指骨骨折的临床效果。方法选择复杂性近节指骨骨折患者70例（82指），应用微型钛网内固定治疗，观察患者骨折愈合（X 线片检查结果）时间及术后手指功能恢复情况。结果该组患者70例（82指）均获得随访，随访时间12～18个月，平均15．8个月。其中74指伤口Ⅰ期愈合，8指伤口出现延迟愈合，经换药后均愈合良好；70例82指均骨折愈合，愈合（X 线片显示）时间为8～10周，平均为9．7周。根据1975年美国手外科学会推荐的 TAM（total active move-ment，TAM）系统评定方法：优44例，良20例，可4例，差2例，优良率91．43％。结论微型钛网对复杂性近节指骨骨折内固定效果良好，术后手指功能恢复满意。Objective To discuss the clinical effect of fixation for complex fractures of the proximal phalanx with mini titanium mesh.Methods 70 cases（82 fingers）with complexity proximal phalanx fracture were selected, they were treated with micro titanium mesh fixation.The fracture healing （X -ray examination）time and postoperative functional recovery of finger were observed.Results 70 patients were followed up for 12 -18 months,average of 15.8 months.74 fingers were Ⅰ wound healing,delayed wound healing in 8 fingers,after dressing healed well. 70 patients with 82 fractures were all healed（X -ray）after 8 -10 weeks,average of 9.7 weeks.According to 1975 American Society of Hand Surgery recommended TAM（total active movement,TAM）system evaluation method,excellent in 44 cases,good in 20 cases,fair in 4 cases and poor in 2 cases,the good rate was 91.43%.Conclusion The effect of micro titanium mesh within the complex proximal phalanx fracture fixation is good,with satisfactory functional recovery of finger.

关 键 词：骨折 粉碎性 指骨骨折 骨折固定术 内 骨固定钢丝 

分 类 号：R687.32[医药卫生—骨科学]