切开复位双克氏针阻挡治疗骨性锤状指畸形  

Open reduction and double Kirschner wire blocking for the treatment of bony mallet finger deformity

作　　者：李栋超 刘书强 田义军 谢洪香 LI Dongchao;LIU Shuqiang;TIAN Yijun(Department of Hand and Foot Surgery,Traditional Chinese Medicine Hospital of Liaocheng City,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城市中医院手足外科,山东聊城252000

出　　处：《实用手外科杂志》2023年第3期396-398,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨切开复位双克氏针阻挡治疗骨性锤状指畸形的手术方法和临床效果。方法2018年1月-2021年12月,对16例Wehbe和Schneider分型Ⅱb型骨性锤状指畸形患者使用切开复位双克氏针背侧阻挡治疗。结果术后16例均获得随访,平均8.6个月,手术切口均愈合良好,无感染、皮肤坏死等并发症,X线片显示骨折愈合可,关节面平整,均未发生骨性关节炎,屈曲活动达到术前水平。按照Crawford功能评定方法:优13指,良2指,可1指。结论切开复位结合双克氏针阻挡治疗骨性锤状指畸形具有操作简便、减少并发症发生等优点,是一种可行的手术治疗方法。Objective To explore the surgical method and clinical application of open reduction and double Kirschner wire blocking in the treatment of bony mallet finger deformity.Methods From January,2018 to December,2021,16 patients with Wehbe and Schneider typeⅡb bone malet finger deformity were treated with open reduction and double Kirschner wire dorsal block.Results All 16 patients were followed up for an average of 8.6 months.The surgical incision healed well,without infection,skin necrosis and other complications.X-ray showed that the fracture healed well,the articular surface was flat,and no osteoarthritis occurred.The flexion activity reached the preoperative level.According to Crawford functional evaluation method,13 fingers were excelent,2 fingers were good and 1 finger was fair.Conclusion Open reduction combined with double Kirschner wire blocking is a feasible surgical method for the reatment of bony mallet finger deformity,which has the advantages of simple operation and reduced complications.

关 键 词：骨性锤状指 双克氏针阻挡 畸形手术 

分 类 号：R658.2[医药卫生—外科学]