空心钉治疗掌指骨长斜形骨折的临床效果  

The clinical efficacy of cannulated screws in the treatment of long oblique fractures of metacarpals and phalanges

作　　者：徐建华[1] 宫可同[1] 鲁毅军[1] 韩力[1] 朱达克 Xu Jianhua;Gong Ketong;Lu Hjun;Han Li;Zhu Dake(Department of Hand Surgery,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津医院手显微外科,天津300211

出　　处：《中华手外科杂志》2018年第4期266-268,共3页Chinese Journal of Hand Surgery

摘　　要：目的观察空心钉治疗掌指骨长斜形骨折的临床效果。方法自2015年1月至2017年7月，我们对23例掌指骨长斜形骨折患者采用空心钉进行骨折固定。其中掌骨骨折25处，近节指骨骨折4处。术后指导患者进行早期功能锻炼。结果术后21例患者获得随访，时间为3～25个月，平均12．7个月。全部骨折均愈合，愈合时间为6～10周，平均6．9周。手功能恢复按照中华医学会手外科学会上肢部分功能评定试用标准评定：优14例，良5例，可2例，优良率为90．5％。结论利用空心钉治疗掌指骨长斜形骨折，固定可靠，对软组织及关节影响较小，术后功能恢复满意，值得临床推广应用。Objective To observe clinical efficacy of cannulated screws in the treatment of long oblique fractures of metacarpals and phalanges. Methods From January 2015 to July 2017, 23 cases of oblique fractures of metacarpals and phalanges were treated with cannulated screws. There were 25 metacarpal fractures and 4 proximal phalanx fractures. Early functional exercise was conducted after the operation. Results Postoperatively, 21 patients were follow-up from 3 to 25 months with an average of 12,7 months. All the fractures were healed. The healing time ranged from 6 to l0 weeks with an average of 6.9 weeks. According to the upper extremity function evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association, the results of functional recovery were graded as excellent in 14 cases, good in 5 cases, and fair in 2 cases with the excellent and good rate being 90.5%. Conclusion It is reliable to use cannulated screws in the treatment of long oblique fractures of metacarpals and phalanges. It has little influence on soft tissue and joints, and the function recovery is satisfactory after the operation. It is worthy of clinical application.

关 键 词：掌骨 指骨 骨折固定术 内 治疗结果 空心钉 

分 类 号：R658.2[医药卫生—外科学]