改良双套圈法治疗骨性锤状指  

Modified double loop method for the treatment of bony mallet fingers

作　　者：费小轩[1] 张云鹏[1] 胡宏宇[1] 于俊[1] 周彤[1] 高顺红[1] Fei Xiaoxuan;Zhang Yunpeng;Hu Hongyu;Yu Jun;Zhou Tong;Gao Shunhong(Department of Hand Surgery,Tangshan Second Hospital,Tangshan 063000,China)

机构地区：[1]唐山市第二医院手外科,唐山063000

出　　处：《中华手外科杂志》2024年第2期132-134,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨改良双套圈法在骨性锤状指手术治疗中的效果。方法自2019年5月至2022年1月,我们对16例新鲜骨性锤状指患者,采用切开复位,1枚克氏针贯穿固定远指间关节于0°位,远节基底两侧各打入1枚克氏针,双套圈缝合骨折块近端两侧,再环绕同侧克氏针折回至骨折块近端,复位骨块后打结固定。术后随访疗效。结果术后15例患者获得随访,时间为6~29个月,平均16.5个月。依据Crawford评价标准:优良14例,优良率为93.3%。结论改良双套圈法固定撕脱骨折块,操作简便,固定可靠,治疗效果满意;手术时间短,治疗费用低,值得推广。Objective Tothe effect of modified double loop method in the surgical treatment of bony mallet fingers.Methods From May 2019 to January 2022,16 patients with fresh bony mallet fingers were treated with open reduction.One Kirschner wire was inserted through the distal interphalangeal joint at 0°position,and one Kirschner wire was inserted on each side of the distal base.The proximal sides of the fracture block were sutured with double loops,and then the Kirschner wire was wrapped around the same side and folded back to the proximal end of the fracture block.After the reduction of the bone block,it was tied and fixed.The clinical efficacy was followed up postoperatively.Results Fifteen postoperative patients were follow-up for a period of 6 to 29 months,with an average of 16.5 months.According to Crawford′s evaluation criteria,14 cases were excellent or good,with an excellent and good rate of 93.3%.Conclusion The modified double loop method for avulsion fracture blocks is easy to operate,reliable in fixation,and has a satisfactory clinical efficacy.The surgical time is short,the treatment cost is low,and it is worth promoting.

关 键 词：腱损伤 治疗结果 骨性锤状指 内固定 

分 类 号：R658[医药卫生—外科学]