CAJ | 학술논문

目的探讨微型锁定加压钢板(locking compression plate,LCP)治疗复杂性掌、指骨骨折的疗效.方法 2009年6月至2011年8月,对30例复杂性掌、指骨骨折应用微型LCP行复位内固定治疗,辅以早期功能锻炼及正确的康复指导.结果术后30例伤口全部Ⅰ期愈合,石膏外固定时间为2～3周(平均2.1周).术后随访5～8个月,平均7个月.1例掌骨骨折出现骨不连,经植骨内固定后愈合；余29例骨折全部愈合,时间为6～12周,平均10周.按手指总主动活动度(TAM)功能评定:优22例,良4例,中3例,差1例；优良率达86.7％.结论微型LCP内固定治疗复杂性掌指骨骨折,固定可靠,可早期进行功能锻炼,有利于手功能的恢复.
목적 탐토미형쇄정가압강판(locking compression plate,LCP)치료복잡성장、지골골절적료효.방법 2009년6월지2011년8월,대30례복잡성장、지골골절응용미형LCP행복위내고정치료,보이조기공능단련급정학적강복지도.결과 술후30례상구전부Ⅰ기유합,석고외고정시간위2～3주(평균2.1주).술후수방5～8개월,평균7개월.1례장골골절출현골불련,경식골내고정후유합；여29례골절전부유합,시간위6～12주,평균10주.안수지총주동활동도(TAM)공능평정:우22례,량4례,중3례,차1례；우량솔체86.7％.결론 미형LCP내고정치료복잡성장지골골절,고정가고,가조기진행공능단련,유리우수공능적회복.
Objective To investigate the treatment outcomes of internal fixation of complex metacarpal and phalangeal fractures using mini locking compression plates (mini-LCP).Methods From June 2009 to August 2011,30 cases of complex metacarpal and phalangeal fractures were treated with mini-LCP followed by early functional training under proper rehabilitation guidance.Results Primary wound healing was achieved in all 30 cases.The length for immobilization with a plaster cast was 2 to 3 weeks (average 2.1 weeks).Postoperative follow-up period ranged from 5 to 8 months.One case had metacarpal nonunion which was healed by bone graft and internal fixation.The rest 29 cases had fracture union 6 to 12 weeks (average 10 weeks) after the surgery.Functional evaluation based on total active motion (TAM) scale yielded an excellent and good rate of 86.7 ％.There were 22 cases with excellent results,4 cases with good results,3 cases with fair results and 1 case with poor result.Conclusion Internal fixation with mini-LCP in the treatment of complex metacarpal and phalangeal fractures can achieve stable fixation that allows early functional rehabilitation and facilitates hand function restoration.