CAJ | 학술논문

目的探讨人工关节假体置换治疗创伤性近侧指间关节缺损畸形的可行性,评价其术后疗效. 方法自2007年9月至2010年11月,对10例创伤性近侧指间关节缺损畸形病例二期行人工关节置换术,示指5例,中指4例,环指1例,其中再造手指1例. 结果 10例患者手术顺利,伤口一期愈合,术中、术后未发生任何并发症.所有患者均获8个月到3年的随访,置换的近侧假体关节外观和运动功能良好,伸屈活动范围50°～ 80°.根据中华医学会手外科学会上肢部分功能评定试用标准评定,本组10例手功能评定:优6例,良3例,可1例. 结论人工关节假体置换治疗创伤性手指近侧指间关节缺损畸形具有手术操作简便、创伤小、恢复快的优点,是一种较为有效的新方法.
목적 탐토인공관절가체치환치료창상성근측지간관절결손기형적가행성,평개기술후료효. 방법 자2007년9월지2010년11월,대10례창상성근측지간관절결손기형병례이기행인공관절치환술,시지5례,중지4례,배지1례,기중재조수지1례. 결과 10례환자수술순리,상구일기유합,술중、술후미발생임하병발증.소유환자균획8개월도3년적수방,치환적근측가체관절외관화운동공능량호,신굴활동범위50°～ 80°.근거중화의학회수외과학회상지부분공능평정시용표준평정,본조10례수공능평정:우6례,량3례,가1례. 결론 인공관절가체치환치료창상성수지근측지간관절결손기형구유수술조작간편、창상소、회복쾌적우점,시일충교위유효적신방법.
Objective To investigate the treatment efficacy of traumatic proximal interphalangeal (PIP)joint defects with prosthetic replacement. Methods From September 2007 to November 2010, ten patients with joint defect injuries were treated by joint prosthetic replacement (5 index fingers,4 middle fingers,and 1 ring finger),including a reconstructed middle finger.Joint motion range and postoperative pain of all cases were measured to evaluate the treatment. Results All cases went through a smooth operation with primary wound healing,and with neither intraoperative nor postoperative complications happened.The follow-up period was range from 8 months to 2 years.The active motion arcs of PIP joints ranged from 50° to 80°,and satisfactory appearances as well. According to assessment standard of upper extremity described by Chinese Hand Surgery Association,the treatment outcome were excellent in 6 fingers,good in 3 fingers,general in 1 finger.Conclusion Joint prosthetic replacement is a new effective method to treat traumatic proximal interphalangeal joint defect,which is a simple operation with advantages of little trauma and rapid recovery.