闭合性第5掌骨颈骨折的微创治疗  

Minimally invasive treatment of closed fifth metacarpal neck fracture

作　　者：王健[1] 

机构地区：[1]克拉玛依市中心医院骨二科,新疆克拉玛依834000

出　　处：《实用手外科杂志》2017年第1期83-84,共2页Journal of Practical Hand Surgery

摘　　要：目的观察闭合复位克氏针交叉固定并早期拆除石膏治疗第5掌骨颈骨折的效果。方法收治闭合性第5掌骨颈骨折23例，采用闭合复位克氏针交叉固定并早期拆除石膏治疗，术后随访，观察外观、x线片及依据中华医学会手外科学会上肢部分功能评定试用标准评定术后手指功能。结果术后随访3～10个月，第5掌骨头均已饱满，复查手正斜位x线片见骨折复位良好，断端成角均已纠正，第5掌骨高度均已恢复，术后6个月复查见骨折均已愈合，未见骨折移位及畸形愈合。手指功能评定结果．优21例，良2例。结论闭合复位克氏针交叉固定并早期拆除石膏治疗第5掌骨颈骨折在术后手的外观、骨折愈合及手指功能均效果良好。Objective To observe the treatment results of the treatment closed fifth metacarpal neck fractures by reduction, Kirschner wire fixation and early removal of plaster. Methods The 23 cases with closed fifth metacarpal neck fractures were cured by closed reduction, Kirschner wire fixation and early removal of plaster, followed up for 3 to 10 months to observe the appearance, X-ray, postoperative finger function evaluated by the upper limb portion functional standard of Hand Surgery Society of Chinese Medical Association. Results The follow-up period of 3 to 10 months showed the appearance of the limb fifth metacarpal bones were full, positive review of hand X-ray film oblique fractures were good, angled ends were correct, the fifth metacarpal average height has been restored, after 6 months had been reviewed to see fracture healing, no fracture displacement and malunion. Postoperative function of finger were excellent and good in 2 cases. Conclusion The closed reduction, IZirschner wire fixation and early removal of plaster were good for the treatment of fifth metacarpal neck fractures in the postoperative appearance of hand, finger fracture healing and finger function.

关 键 词：骨折 闭合复位 石膏固定 

分 类 号：R683.41[医药卫生—骨科学]