CAJ | 학술논문

目的探讨采用背侧阻挡支具固定治疗近指间关节掌侧撕脱骨折的疗效.方法 2007年8月至2010年4月,对10例近指间关节EatonⅡ型和较稳定的Ⅲ型损伤患者,采用背侧阻挡支具治疗.从受伤到接受治疗时间为2～14d,平均8d.背侧阻挡支具限制近指间关节背伸,鼓励屈曲活动,4～6周后去除支具,全面进行功能练习.结果 10例均获得随访,随访时间为3～6个月,平均4.5个月,近指间关节主动活动范围平均92°(87°～96°),与对侧健指关节活动范围相当.手功能评定采用Incavo评定法,临床结果全部为优.所有患者对治疗过程及效果满意.结论背侧阻挡支具治疗近指间关节EatonⅡ型和较稳定的Ⅲ型损伤,可获得满意的疗效.方法简单、廉价而并发症少,是治疗此类损伤的首选方式.
목적 탐토채용배측조당지구고정치료근지간관절장측시탈골절적료효.방법 2007년8월지2010년4월,대10례근지간관절EatonⅡ형화교은정적Ⅲ형손상환자,채용배측조당지구치료.종수상도접수치료시간위2～14d,평균8d.배측조당지구한제근지간관절배신,고려굴곡활동,4～6주후거제지구,전면진행공능연습.결과 10례균획득수방,수방시간위3～6개월,평균4.5개월,근지간관절주동활동범위평균92°(87°～96°),여대측건지관절활동범위상당.수공능평정채용Incavo평정법,림상결과전부위우.소유환자대치료과정급효과만의.결론 배측조당지구치료근지간관절EatonⅡ형화교은정적Ⅲ형손상,가획득만의적료효.방법간단、렴개이병발증소,시치료차류손상적수선방식.
Objective To investigate the clinical results of extension-block splint for treatment of volar avulsion injuries of the proximal interphalangeal joint. Methods From August 2007 to April 2010,10 patients with Eaton type Ⅱ and stable type Ⅲ volar avulsion injuries of the proximal interphalangeal joint were treated with extension-block splint.The duration from injury to presentation was 8 days on average (range,2 to 14 days).The splint prevented the proximal interphalangeal joint from hyperextension and allowed active flexion for 4 to 6 weeks.It was then removed and active exercise was encouraged. Results All patients were available for follow-up evaluation.The length of follow-up averaged 4.5 months (range,3 to 6 months).The total active range of motion of the affected proximal interphalangeal joint averaged 92° (range 87 ° to 96°).On the basis of Incavo's scoring system,all the patients were graded to have excellent results.Satisfaction was expressed by all the patients. Conclusion Extension-block splint is a predictable,safe and simple method for treatment of Eaton type Ⅱ and stable type Ⅲ volar avulsion injuries of the proximal interphalangeal joint.This low-morbidity,low-cost treatment should be the method of choice for patients that fulfill the outlined selection criteria.