CAJ | 학술논문

目的：介绍一种应用克氏针卡压固定末节指骨背侧撕脱骨折的手术方法。方法对14例14指末节指骨基底背侧撕脱骨折，采用切开复位，末节指骨过伸固定远指关节，克氏针斜形卡压撕脱骨块的方法，术后撕脱骨块均达解剖复位，6周拔除克氏针作主被动功能锻炼。结果术后随访3~6个月经TAM评定：优11例，良3例。结论骨折全部早期愈合，采用克氏针卡压固定末节基底背侧骨折，能有效治疗骨性锤状指畸形，具有手术操作简单、创伤小、疗效满意等优点。
목적：개소일충응용극씨침잡압고정말절지골배측시탈골절적수술방법。방법대14례14지말절지골기저배측시탈골절，채용절개복위，말절지골과신고정원지관절，극씨침사형잡압시탈골괴적방법，술후시탈골괴균체해부복위，6주발제극씨침작주피동공능단련。결과술후수방3~6개월경TAM평정：우11례，량3례。결론골절전부조기유합，채용극씨침잡압고정말절기저배측골절，능유효치료골성추상지기형，구유수술조작간단、창상소、료효만의등우점。
Objective To introduce one surgical method of applying Krischner wires fixation in the basal and dorsal avulsion fracture in phalangette. Methods Krischner wires were put obliquely in 14 cases of patients with basal and dorsal avulsion facture in phalangette to restore the fracture after open reduction and making the phalangette pass thourgh distal phalangeal joint. All the cases were successful and removed the Krischner wires in week six. Then they received functional rehabilitaion. Results All the patients were followed up for 3 to 6 months and the TAM evaluation showed excellent results in 11 cases and good results in 3 cases. Conclusion Krischner wire fixation in the basal and dorsal avulsion fracture in phalangette is very effective in the treatment of bony mallet finger with the advantages of simplicity of manipulation, micro-invasion, and satisfactory effect.