皮肤牵引结合微型小夹板治疗拇指近节粉碎性骨折20例  

20 Cases of Clinical Study on Skin Traction Combined with Mini Splints on the Treatment of Patients with Comminuted Fracture of the Proximal Thumb

作　　者：李翔 蒲云青 陈振中 王晓晖 李巍 汤智 齐权律 LI Xiang;PU Yunqing;CHEN Zhenzhong;WANG Xiaohui;LI Wei;TANG Zhi;QI Quanlü(Xiangtan Chinese Medicine Hospital,Xiangtan 411100,Hunan China)

机构地区：[1]湘潭市中医医院,湖南湘潭411100

出　　处：《中国中医骨伤科杂志》2023年第8期68-70,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：第四批湖南省老中医药专家学术经验继承工作项目(湘中医药函〔2020〕37号)。

摘　　要：目的:探讨皮肤牵引结合微型小夹板治疗拇指近节指骨粉碎性骨折的临床疗效。方法:选取拇指近节指骨粉碎性骨折患者20例,采用皮肤牵引结合微型小夹板治疗,维持骨折的复位。结果:20例患者均获随访,随访时间为3~12个月,中位数为6.3个月。骨折均顺利愈合,愈合时间为4~6周,中位数为5周。参照中华医学会手外科学分会上肢部分功能评定试用标准中总主动活动度(TAM)测定法评价疗效,优16例,良4例。结论:皮肤牵引结合微型小夹板治疗拇指近节粉碎性骨折疗效确切,患者接受度高,是一种值得推广的治疗方法。Objective:To explore the treatment skills and clinical efficacy of skin traction combined with mini splints on the treatment of patients with comminuted fracture of the proximal thumb.Methods:20 patients with comminuted fracture of proximal phalangeal bone of thumb were selected and treated with skin traction frame combined with mini splint,which effectively maintained the reduction of fracture.Results:All the 20 patients were followed up 3-12 months,with a median of 6.3 months.All fractures healed smoothly,and the healing time was 4-6 weeks,with a median of 5 weeks.According to the total active motion(TAM)measurement method of the upper limb function evaluation trial standard of the Hand Surgery Branch of the Chinese Medical Association,the effectiveness was excellent in 16 cases and good in 4 cases.Conclusion:Skin traction combined with mini splint on the treatment of proximal thumb comminuted fractures has definite clinical efficacy and high patient acceptance,which is worthy of promotion.

关 键 词：近节指骨 粉碎性 皮肤牵引 

分 类 号：R683.41[医药卫生—骨科学]