CAJ | 학술논문

目的总结利用经皮闭合穿针治疗新鲜掌板撕脱骨折的经验,为临床治疗掌板撕脱骨折提供可靠、有效的治疗方法.方法 2002-2007年,对6例掌板撕脱骨折的患者,在局部麻醉下经皮闭合穿针内固定方法进行治疗.6例均为近侧指间关节中节指骨基底撕脱骨折.受伤至手术的时间为1～8d,平均3.5d.结果术后随访时间为3个月至5年3个月,平均1年5个月.6例患者均于术后6～8周(平均6.8周)达到骨折愈合.患指经功能锻炼后,术后均无静息痛,近侧指间关节屈曲为78°～100°(平均83.5°),伸直0°～-10°(平均-6.5°).结论经皮(屈曲阻挡,Flexion blocking)闭合穿针内固定是一种治疗手指近侧指间关节掌板撕脱骨折可靠、有效的方法.
목적 총결이용경피폐합천침치료신선장판시탈골절적경험,위림상치료장판시탈골절제공가고、유효적치료방법.방법 2002-2007년,대6례장판시탈골절적환자,재국부마취하경피폐합천침내고정방법진행치료.6례균위근측지간관절중절지골기저시탈골절.수상지수술적시간위1～8d,평균3.5d.결과 술후수방시간위3개월지5년3개월,평균1년5개월.6례환자균우술후6～8주(평균6.8주)체도골절유합.환지경공능단련후,술후균무정식통,근측지간관절굴곡위78°～100°(평균83.5°),신직0°～-10°(평균-6.5°).결론 경피(굴곡조당,Flexion blocking)폐합천침내고정시일충치료수지근측지간관절장판시탈골절가고、유효적방법.
Objective To summarize the experience of treating acute volar plate avulsion fracture by percutaneous pin fixation, investigate its feasibility and effectiveness. and provide a reliable and effective treatment method for acute volar plate avulsion fractures. Methods From 2002 to 2007, 6 patients with acute volar plate avulsion fractures were treated surgically by percutaneous pin fixation under regional anesthesia. There were 4 men and 2 women with an average age of 26 years. Among them, 2 index fingers, 2 long fingers, 1 ring finger and 1 little finger were involved. The cause of the injury was sports injury in 4 cases, accident in 1 case, and forceful twisting in 1 case. Duration from injury to operation ranged from 1 to 8 days with an average of 3.5 days. Follow-up period ranged from 3 months to 5 years and 3 months, with an average of 1 year and 5 months. All 6 cases sustained avulsion fractures of middle phalanx base at the proximal interphalangeal (PIP) joint. Results All the patients achieved bone union at mean 6.8 weeks (range, 6 to 8 weeks) postoperatively. After rehabilitation PIP joint flexion reached 78° to 100° (average 83.5°) while PIP joint extension was 0° to -10°(average -6.5°). No static pain was found among those patients and they were all satisfied with their treatment outcome. Conclusion Percutaneous flexion blocking pin fixation was a reliable and effective treatment method for acute volar plate avulsion fractures.