CAJ | 학술논문

目的：评价限制背伸支具治疗近指间( proximal interphalangeal，PIP )关节背侧骨折脱位的效果。方法2009年9月至2013年9月，对48例PIP关节背侧骨折脱位患者采用阶段性限制背伸支具治疗，随访其远期功能情况，记录关节活动范围。采用TAM 评分进行手指客观运动功能评价，采用 VAS 评分进行主观满意度评价。结果48例均获4～48个月随访，平均18个月。骨折全部愈合；关节复位满意；PIP关节屈曲110°，伸直0°；TAM评分：优48例，优良率100%；VAS主观满意度9.9分。侧方不稳定且开口征＜30°的4例，支具治疗后无明显侧方不稳定，开口征＜15°，除侧方梭形膨胀外，无其它并发症。结论限制背伸支具治疗PIP关节背侧骨折脱位方法简单，效果可靠。
목적：평개한제배신지구치료근지간( proximal interphalangeal，PIP )관절배측골절탈위적효과。방법2009년9월지2013년9월，대48례PIP관절배측골절탈위환자채용계단성한제배신지구치료，수방기원기공능정황，기록관절활동범위。채용TAM 평분진행수지객관운동공능평개，채용 VAS 평분진행주관만의도평개。결과48례균획4～48개월수방，평균18개월。골절전부유합；관절복위만의；PIP관절굴곡110°，신직0°；TAM평분：우48례，우량솔100%；VAS주관만의도9.9분。측방불은정차개구정＜30°적4례，지구치료후무명현측방불은정，개구정＜15°，제측방사형팽창외，무기타병발증。결론한제배신지구치료PIP관절배측골절탈위방법간단，효과가고。
Objective To evaluate the effects of the extension block splint for dorsal fracture-dislocation of the proximal interphalangeal ( PIP ) joint. Methods From September 2009 to September 2013, 48 patients with dorsal fracture-dislocation of the PIP joint were treated with the extension block splint in stages. The long-term functional recovery was evaluated, and the joint range of motion was recorded in the follow-up. The total active movement ( TAM ) examination was performed to assess the objective motion function of the ifnger, and the Visual Analogue Scale ( VAS ) was used to evaluate the subjective satisfaction. Results All the 48 patients were followed up for a mean period of 18 months ( range;4-48 months ). Bone union was achieved in all the cases, and satisfactory joint reduction was obtained. The lfexion and extension of the PIP joint were 110 and 0 degrees respectively. According to the TAM examination, there were 48 excellent cases, and the excellent and good rate was 100%. The VAS score is 9.9 points. Lateral instability was noticed in 4 cases, and the opening was less than 30 degrees. After the treatment of the extension block splint, no obvious lateral instability was found and the opening became less than 15 degrees. There were no complications, except for lateral fusiform swelling. Conclusions The treatment of dorsal fracture-dislocation of the PIP joint with the extension block splint is a simple procedure, with excellent outcomes.