双枚克氏针协同加压固定治疗末节指骨基底部撕脱性骨折  

Treatment of avulsion fracture of the base of the distal phalanx with two Kirschner needles combined with compression fixation

作　　者：谢建华 刘海华 王生钰 张克录 柴香林 叶国泰 戴鹏祥 XIE Jianhua;LIU Haihua;WANG Shengyu(Department of Hand Surgery, Hengli People's Hospital, Dongguan, Guangdong, 523460, China)

机构地区：[1]东莞市横沥人民医院手外科,广东东莞523460

出　　处：《实用手外科杂志》2019年第1期50-52,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨应用双枚克氏针协同加压固定的手术方法治疗末节指骨基底部撕脱性骨折。方法2015年1月-2017年8月治疗末节指骨基底部撕脱性骨折35例35指,均采用双枚克氏针协同加压固定的手术方法,一枚克氏针纵行固定远指间关节于伸直位纠正关节半脱位,另一枚克氏针紧贴骨折块并与骨折线方向平行,从中节指骨远端打入并从掌侧骨皮质穿出,两枚克氏针的远端折弯后靠拢加压固定骨折块,用4号丝线或钢丝固定。结果术后35例35指切口均愈合良好,4～6周骨折愈合良好,拔除克氏针后行功能康复训练,随访3～12个月,无锤状指畸形,手指功能恢复满意。结论采用双枚克氏针协同加压固定治疗末节指骨基底部撕脱性骨折,创伤小,费用低,无需二次手术,方法简便,疗效满意。Objective To investigate the surgical treatment of avulsion fracture of the base of the distal phalanx with double Kirschner needle combined with compression fixation. Methods From January 2015 to August 2017, 35 patients(35 fingers) with avulsion fracture of the base of the distal phalanx were treated in our hospital. One Kirschner needle was used to longitudinaly fix the distal interphalangeal joint to correct the subluxation of the distal interphalangeal joint in the straightening position, the other Kirschner pin clung to the fracture block and paralleled the direction of the fracture line, and penetreated from the distal middle phalangeal bone and perforated from the metacarpal bone cortex. The distal parts of two Kirschner needles was bent to press the fracture block, with suture thread 4 or steel wire fixation.Results Thirty-five cases(35 fingers) had good healing of fracture 4-6 weeks after operation. Functional exercise was performed after removing Kirschner’s needle. Follow-up for 3~12 months showed no mallet finger malformation and satisfactory recovery of finger function. Conclusion Double Kirschner needle combined with compression fixation is a simple and effective method for the treatment of avulsion fracture of the base of the distal phalanx.

关 键 词：克氏针 指骨骨折 内固定 

分 类 号：R687.3[医药卫生—骨科学]