CAJ | 학술논문

目的探讨单指反向牵引外固定架用于指骨关节内粉碎性骨折的治疗及体会.方法2003年1月至2009年11月,采用自制单指反向牵引外固定架治疗手部指骨关节内粉碎性骨折35例.结果术后35例随访期间无针道感染及手指坏死发生,骨折愈合时间3～6周,无骨不连及骨髓炎并发症.术后随访平均时间为12.5个月,根据1975年美国手外科学会推荐的手指总的主动活动度(total active move-ment,TAM)系统评定方法评定:优19例,良15例,可1例,差0例,优良率为97.14％.结论单指反向牵引外固定架结构简单,制作方便实用,固定指骨稳定,特别是对指骨关节内的粉碎性骨折有良好的复位及固定作用,临床可以推广应用.
목적 탐토단지반향견인외고정가용우지골관절내분쇄성골절적치료급체회.방법2003년1월지2009년11월,채용자제단지반향견인외고정가치료수부지골관절내분쇄성골절35례.결과 술후35례수방기간무침도감염급수지배사발생,골절유합시간3～6주,무골불련급골수염병발증.술후수방평균시간위12.5개월,근거1975년미국수외과학회추천적수지총적주동활동도(total active move-ment,TAM)계통평정방법평정:우19례,량15례,가1례,차0례,우량솔위97.14％.결론 단지반향견인외고정가결구간단,제작방편실용,고정지골은정,특별시대지골관절내적분쇄성골절유량호적복위급고정작용,림상가이추엄응용.
Objective To explore the experience and understanding of the treatment of intraarticular comminuted fractures of the fingers using single finger opposite direction traction external fixator.Methods Single finger opposite direction traction external fixator was applied to treat 35 cases of intraarticular comminuted fractures of the fingers from January 2003 to November 2009.Results All 35 cases were follow-up for an average of 12.5 months.During the follow-up,no pin hole infection and finger necrosis were noticed.Fracture union time ranged from 3 to 6 weeks.There were no complications such as nonunion or osteomyelitis.According to the total active movement evaluation system (TAM system) introduced by the American Society for Surgery of the Hand in 1975,the results of this series were excellent in 19 cases,good in 15 cases and fair in 1 case.The good rate was 97.14％.Conclusion Single finger opposite direction traction external fixator has simple design and is easy to construct.It can achieve stable fixation particularly in the reduction and fixation of intraarticular comminuted fractures of the fingers.We recommend its wide clinical application.