针头内固定结合外固定治疗开放性远节指骨骨折  

Treatment of Open Distal Phalanx Fractures by Syringe Needle Internal Fixation Combined with Splint External Fixation

作　　者：金相廷 李霞 万岷 黄俊 陈锐 

机构地区：[1]解放军南部战区海军第一医院创伤骨科,广东 湛江 [2]解放军南部战区海军第一医院高压氧科,广东 湛江

出　　处：《外科（汉斯）》2023年第2期7-12,共6页Hans Journal of Surgery

摘　　要：目的:探讨应用针头内固定结合外固定治疗开放性远节指骨骨折的临床疗效。方法:分析2016年01月至2021年12月执行军事医疗保障任务期间及医院内接诊的共15例开放性远节指骨骨折患者,其中男性患者13例,女性2例,平均年龄25.3岁。患者均采用注射器针头内固定结合铝板外固定治疗,术后定期复查并按照指导进行功能锻炼。对患者术后6个月指骨骨折愈合及功能恢复情况进行分析。结果:15例患者骨折达到临床愈合时间平均为(8.41 ± 1.93)周,无严重软组织感染、骨髓炎、骨折不愈合并发症发生。术后6月手指屈伸功能优11例,良3例,优良率93.33%。结论:使用针头内固定结合外固定治疗是一种简单有效的治疗开放性远节指骨骨折方法,可在战时、随船保障等医疗条件有限情况下使用。Objective: To investigate the effect of syringe needle internal fixation combined with splint ex-ternal fixation in the treatment of open distal phalanx fractures. Methods: From January 2016 to December 2021, 15 patients (13 males, 2 females;mean age 25.3 years) with open distal phalanx fractures treated by syringe needle internal fixation combined with splint external fixation were retrospectively analyzed. All patients followed a routine protocol, including progressive exercise and regular check-ups. The recovery of finger function and fracture healing time were analyzed. Results: The mean time to fracture healing was (8.41 ± 1.93) weeks, and there were no serious soft tissue infection, osteomyelitis, fracture nonunion, and other complications. Six months after surgery, functional outcomes were excellent in 11, good in 3. The excellent and good rate in functional results was 93.33%. Conclusion: Syringe needle internal fixation combined with splint external fixation is a simple and effective method for the treatment of open distal phalanx frac-tures. It could be used in various theatres of operations and other poor conditions.

关 键 词：远节指骨 骨折 内固定术 治疗 军队 

分 类 号：R68[医药卫生—骨科学]