CAJ | 학술논문

目的探讨儿童腱性锤状指的治疗方法.方法 2004年2月至2011年7月,对17例(17指)儿童锤状指进行治疗,分别在骨骺两端用4枚克氏针置入指骨,远近端克氏针交叉固定于远指间关节过伸5°～10°位,并缝合断裂伸肌腱.术后支具外固定,4周后去除.术后6周拔除克氏针,锻炼伤指屈伸功能.结果本组患儿17例(17指)均获得随访,随访时间为6 ～ 50个月,平均29个月.指伸肌腱愈合良好,锤状指畸形被矫正,关节活动正常,伤指骨骼生长未受影响,不影响生活.根据中华医学会手外科学会上肢部分功能评定试用标准评定:优9例,良7例,差1例;优良率为94.1％.结论改良克氏针固定并肌腱修复治疗儿童腱性锤状指效果满意.
목적 탐토인동건성추상지적치료방법.방법 2004년2월지2011년7월,대17례(17지)인동추상지진행치료,분별재골후량단용4매극씨침치입지골,원근단극씨침교차고정우원지간관절과신5°～10°위,병봉합단렬신기건.술후지구외고정,4주후거제.술후6주발제극씨침,단련상지굴신공능.결과 본조환인17례(17지)균획득수방,수방시간위6 ～ 50개월,평균29개월.지신기건유합량호,추상지기형피교정,관절활동정상,상지골격생장미수영향,불영향생활.근거중화의학회수외과학회상지부분공능평정시용표준평정:우9례,량7례,차1례;우량솔위94.1％.결론 개량극씨침고정병기건수복치료인동건성추상지효과만의.
Objective To explore the treatment options for mallet finger with tendon injury in children.Methods From February 2004 to July 2011,17 cases (17 fingers) of mallet fingers deformity with tendon injury in children were treated.Four Kirschner wires were placed proximal and distal to the epiphyseal plate and crisscrossed to fix the distal interphalangeal(DIP) joint at 5° to 10° hyperextension.The ruptured extensor tendon was then repaired.A splint was used after the surgery which was removed at 4 weeks postoperatively.The Kirschner wires were removed 6 weeks after the surgery when active finger flexion and extension exercise began.Results All 17 cases were follow-up for 6 to 50 months,with an average of 29 months.Extensor tendons healed.Mallet deformity disappeared.Joint movements were normal.Skeleton growth was not impaired.According to the upper extremity functional evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association,the results were rated as good in 9 cases,fair in 7 cases and poor in 1 case.The overall satisfactory rate was 94.1％.Conclusion The modified Kirschner wire fixation and extensor tendon repair is an effective surgical technique to treat mallet finger deformities with tendon injury in children.