CAJ | 학술논문

目的介绍应用微型钛质钢板治疗指骨骨折的临床疗效.方法 2009年7月至2010年7月,对65例手指骨折,根据骨折不同部位采取切开复位,放置微型钢板内固定.其中近节指骨40例,中节指骨25例,并对术后疗效进行评价.结果术后随访时间为6～ 12个月,平均8个月.根据手指关节总活动度(TAM)评分:优50例,良10例,可5例；优良率为92.3％.术后患者均无伤口感染、骨折畸形愈合和骨不连发生,无钢板外露、钢板突出、螺钉松动等并发症.结论应用微型钢板治疗指骨骨折,宜针对不同骨折部位放置钢板进行固定,疗效可靠,并发症少.
목적 개소응용미형태질강판치료지골골절적림상료효.방법 2009년7월지2010년7월,대65례수지골절,근거골절불동부위채취절개복위,방치미형강판내고정.기중근절지골40례,중절지골25례,병대술후료효진행평개.결과 술후수방시간위6～ 12개월,평균8개월.근거수지관절총활동도(TAM)평분:우50례,량10례,가5례；우량솔위92.3％.술후환자균무상구감염、골절기형유합화골불련발생,무강판외로、강판돌출、라정송동등병발증.결론 응용미형강판치료지골골절,의침대불동골절부위방치강판진행고정,료효가고,병발증소.
Objective To evaluate the clinical results of treating phalangeal fractures by titanium miniplates fixation.Methods From July 2009 to July 2010,65 cases of phalangeal fractures were treated with titanium miniplates,among which there were 40 cases of proximal phalangeal fractures and 25 middle phalangeal fractures.The clinical results were assessed by the standard of TAM scales.Results All patients were followup for 6 to 12 months,with an average of 8 months.According to TAM scales,the results were excellent in 50cases,good in 10 cases and fair in 5 cases,with an excellent and good rate of 92.3％.All the fractures healed uneventfully.There were no obvious complications such as wound infection,malunion or nonunion,plate extrusion,or screw loosening. Conclusion Titanium miniplate fixation is a reliable alternative to treat phalangeal fractures with no obvious complicatiom.