中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2012年
2期
82-83
,共2页
魏壮%张展%索岩%刘浩宇%尹维田%刘飙
魏壯%張展%索巖%劉浩宇%尹維田%劉飆
위장%장전%색암%류호우%윤유전%류표
截骨术%指骨%骨折固定术,内%旋转畸形
截骨術%指骨%骨摺固定術,內%鏇轉畸形
절골술%지골%골절고정술,내%선전기형
Ostectomy%Finger phalanges%Fracture fixation,internal%Malrotation
目的 探讨手指近节指骨骨折后原位截骨矫正旋转畸形的手术疗效.方法 用钛板螺钉对6例手指近节指骨旋转畸形愈合的患者进行原位截骨矫形后固定,手术均采用背侧入路.结果 术后随访6～22个月,伤口无感染及皮肤坏死,骨愈合时间为6～9周,无延迟愈合、骨不连或畸形愈合.结论 近节指骨骨折处原位截骨不仅可提供更精确的矫形,恢复手指的功能,改善外观,还能解决骨折继发的肌腱粘连,最大限度地减少软组织的损伤.
目的 探討手指近節指骨骨摺後原位截骨矯正鏇轉畸形的手術療效.方法 用鈦闆螺釘對6例手指近節指骨鏇轉畸形愈閤的患者進行原位截骨矯形後固定,手術均採用揹側入路.結果 術後隨訪6～22箇月,傷口無感染及皮膚壞死,骨愈閤時間為6～9週,無延遲愈閤、骨不連或畸形愈閤.結論 近節指骨骨摺處原位截骨不僅可提供更精確的矯形,恢複手指的功能,改善外觀,還能解決骨摺繼髮的肌腱粘連,最大限度地減少軟組織的損傷.
목적 탐토수지근절지골골절후원위절골교정선전기형적수술료효.방법 용태판라정대6례수지근절지골선전기형유합적환자진행원위절골교형후고정,수술균채용배측입로.결과 술후수방6～22개월,상구무감염급피부배사,골유합시간위6～9주,무연지유합、골불련혹기형유합.결론 근절지골골절처원위절골불부가제공경정학적교형,회복수지적공능,개선외관,환능해결골절계발적기건점련,최대한도지감소연조직적손상.
Objective To investigate the effectiveness of in situ osteotomy for correction of rotational deformity of the proximal phalanx. Methods Six cases of proximal phalanx rotational deformity resulted from fracture malunion were treated.Ostectomy was done at the site of the fracture via a dorsal approach.After correction of the rotation a contoured plate and screws were used for fixation. Results All patients were followup for 6 to 22 months.There was no infection or skin necrosis.Bone healing occurred in 6 to 9 weeks.There were no delayed union,nonunion or malunion. Conclusion In situ correction ostectomy can not only provide more accurate correction to restore finger function and appearance,but also addresses secondary tendon adhesion and decreases soft tissue damage.
