骨锚钉结合克氏针与单纯克氏针治疗锤状指的比较研究  

Comparative study on the treatment of mallet fingers： micro bone anchor combined with Kirschner wire versus only Kirschner wire

作　　者：郑力峰[1] 谢昀[1] 叶君健[1] 林建华[1] Zheng Lifeng;Xie Yun;Ye Junjian;Lin Jianhua(Department of Traumatic Orthopedics,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350004,China)

机构地区：[1]福建医科大学附属第一医院创伤骨科,福州350004

出　　处：《中华手外科杂志》2018年第5期329-332,共4页Chinese Journal of Hand Surgery

基　　金：福建省临床重点专科（西医类别）建设基金项目（闽卫科教[2012]149号）

摘　　要：目的观察使用骨锚钉结合克氏针技术与单纯使用克氏针修复急性指伸肌腱止点的腱性损伤，评估两者的疗效差异。方法41例患者分为2组，一组采用克氏针肌腱缝合法，另一组选用骨锚钉结合克氏针法，记录患者的围手术期情况及术后患指活动度、并发症等情况，并按Crawford功能评分法评估疗效。结果术后随访9～21个月，平均12．3个月，骨锚钉组术后患指关节的活动度，术后功能的优良率较单纯克氏针组理想（P〈0．05）；总并发症的发生率两组之间差异无统计学意义（P〉0．05），但单纯克氏针组切口并发症的发生率较骨锚钉组高（P〈0．05）。结论微型骨锚钉为不合并撕脱骨折的腱性锤状指畸形的修复提供了一种操作简洁、疗效肯定的手术方法。Objective To observe-the clinical efficacy of micro bone anchor combined with Kirschner wire and only Kirschner wire in the treatment of tendinous injuries of acute extensor tendon insertion and evaluate the difference between the two methods. Methods Forty-one patients were divided into two groups. One group was treated with Kirschner wire fixation and tendon suture, and the other group with micro bone anchor combined with Kirschner wire fixation. Perioperative conditions, postoperative finger movement and complications were recorded and the clinical efficacy was evaluated according to Crawford scoring system. Results All the patients were follow-up from 9 to 21 months with an average of 12.3 months. The good and excellent rate of postoperative total range of active motion of the distal interphalangeal joint and functional recovery from the micro bone anchor group was better than that from the only Kirschner wire group （P〈0.05）. There was no significant difference in the incidence of total complications between the two groups （P〉0.05）, but the incidence of incision complications in the only Kirschner wire group was higher than that in the micro bone anchor group （P〈0.05）. Conclusion Micro bone anchors provide a simple and effective surgical method for repairing the tendinous mallet deformity without avulsion fracture.

关 键 词：腱损伤 外科手术 锤状指 

分 类 号：R658.2[医药卫生—外科学]