CAJ | 학술논문

目的探讨背侧经皮无头加压螺钉固定治疗新鲜无移位钩骨钩骨折的可行性及初步疗效.方法对2013年1月至2013年8月在我院治疗的3例新鲜无移位的钩骨钩骨折病例,在C臂机透视导引下,采用背侧经皮无头加压螺钉固定治疗.术后第2天即在医生指导下开始手及腕部的主动功能锻炼.结果所有患者都对治疗效果表示非常满意.手术前、后的疼痛视觉模拟评分分别为6.5±1.8和0.9±0.5,差异有统计学意义(P＜0.01).手术前、后患肢握力分别为健侧的(54.3±13.5)％和(89.7±5.5)％,差异有统计学意义(P＜0.05).手术前、后腕关节屈伸活动度分别为(135.7± 11.0)°和(153.3±7.6)°,差异无统计学意义.3例均骨折愈合,平均愈合时间为2.4个月.结论背侧入路经皮使用无头加压螺钉固定治疗新鲜无移位的钩骨钩骨折在临床工作中是可行的,比传统的方法更加安全、可靠、高效.
목적 탐토배측경피무두가압라정고정치료신선무이위구골구골절적가행성급초보료효.방법 대2013년1월지2013년8월재아원치료적3례신선무이위적구골구골절병례,재C비궤투시도인하,채용배측경피무두가압라정고정치료.술후제2천즉재의생지도하개시수급완부적주동공능단련.결과 소유환자도대치료효과표시비상만의.수술전、후적동통시각모의평분분별위6.5±1.8화0.9±0.5,차이유통계학의의(P＜0.01).수술전、후환지악력분별위건측적(54.3±13.5)％화(89.7±5.5)％,차이유통계학의의(P＜0.05).수술전、후완관절굴신활동도분별위(135.7± 11.0)°화(153.3±7.6)°,차이무통계학의의.3례균골절유합,평균유합시간위2.4개월.결론 배측입로경피사용무두가압라정고정치료신선무이위적구골구골절재림상공작중시가행적,비전통적방법경가안전、가고、고효.
Objective To evaluate the feasibility and preliminary results of using dorsal percutaneous cannulated screw fixation for treatment of fresh non-displaced fractures of the hamate hook.Methods Three patients who suffered from fresh non-displaced fractures of the hamate hook received the dorsal percutaneous cannulated screw fixation with the aid of C-arm fluoroscopy from January to August of 2013.Supervised active exercises of the involved hand and wrist began from the second day postoperatively.Results All the patients were satisfied with their results.The visual analog scale of pain before and after the operation was 6.5 ± 1.8 and 0.9 ± 0.5,respectively.The difference was statistically significant (P ＜ 0.01).Pre-and post-operative grip strength was (54.3 ± 13.5)％ and (89.7 ± 5.5)％,respectively,of the contralateral side.The difference was significant (P ＜ 0.05).Range of motion of wrist flexion and extension before and after the operation was (135.7 ± 11.0)° and (153.3 ± 7.6)°,respectively.There was no significant difference.All the fractures united with an average healing time of 2.4 months.Conclusion Dorsal percutaneous cannulated screw fixation for treatment of fresh non-displaced fractures of the hamate hook is not only practical but also safer,more reliable and more efficient.