CAJ | 학술논문

目的探讨抽出钢丝悬吊法治疗指伸肌腱中央束止点撕脱伤的临床疗效,为其治疗提供新的方法.方法采用抽出钢丝悬吊法治疗指伸肌腱中央束止点撕脱伤12例,患者平均年龄30岁.受伤至手术时间平均14 d,均为闭合性损伤,其中3例合并中节指骨基底背侧撕脱骨折.术后石膏外固定6周后拔除克氏针并抽出钢丝,开始进行功能锻炼.结果术后平均随访时间为9个月(3～15个月),3例骨折片均获得完全复位,骨折临床愈合时间平均为7周(6～8周).术后测定患指屈伸功能:远指间关节主动伸直平均-4°( - 10°～0°),主动屈曲平均45°(30°～70°)；近指间关节主动伸直平均-9°(-20°～0°),主动屈曲平均8r°(72°～90°).根据中华医学会手外科学会上肢部分功能评定试用标准:优10例,良1例,可1例；优良率达91.7％.结论抽出钢丝悬吊法是治疗指伸肌腱中央束止点撕脱伤的有效方法.
목적 탐토추출강사현조법치료지신기건중앙속지점시탈상적림상료효,위기치료제공신적방법.방법 채용추출강사현조법치료지신기건중앙속지점시탈상12례,환자평균년령30세.수상지수술시간평균14 d,균위폐합성손상,기중3례합병중절지골기저배측시탈골절.술후석고외고정6주후발제극씨침병추출강사,개시진행공능단련.결과 술후평균수방시간위9개월(3～15개월),3례골절편균획득완전복위,골절림상유합시간평균위7주(6～8주).술후측정환지굴신공능:원지간관절주동신직평균-4°( - 10°～0°),주동굴곡평균45°(30°～70°)；근지간관절주동신직평균-9°(-20°～0°),주동굴곡평균8r°(72°～90°).근거중화의학회수외과학회상지부분공능평정시용표준:우10례,량1례,가1례；우량솔체91.7％.결론 추출강사현조법시치료지신기건중앙속지점시탈상적유효방법.
Objective To investigate the clinical outcomes of treatment of extensor central slip avulsion injury with traction wire procedures. Methods Twelve cases of extensor central slip avulsion injuries were treated with traction wire procedures.The average age of the patients was 30 years (range,16 to 45 years) and the average duration from injury to treatment was 14 days (range,7 to 30 days).All the cases sustained closed injuries,among them there were 3 cases with avulsion fractures.The wires were removed 6 weeks postoperatively when rehabilitation started. Results The postoperative follow-up period was 9 months on average (range,3 to 15 months).Union of all the avulsion fractures was obtained within 7 weeks (range,6 to 8 weeks).The functions of the involved fingers were evaluated as following:the mean active extension and flexion of DIP joints were -4°(range,- l0° to 0°) and 45°(range,30° to 70°),respectively; the mean active extension and flexion of PIP joints were -9°(range,-20° to 0°) and 81°(range,72° to 90°),respectively.According to the Upper Extremity Functional Evaluation System of Chinese Hand Surgery Association,the treatment outcomes were excellent in 10 cases,good in one case and fair in one case.The excellent and good rate reached 91.7％.Conclusion Traction wire procedure is a reliable treatment method for extensor central slip avulsion injury.