CAJ | 학술논문

目的分析3D微型钢板内固定治疗掌、指骨骨折的近期临床效果.方法对33例35处掌、指骨骨折的患者,其中掌骨骨折20处、近节指骨骨折15处,采用切开复位背侧3D微型钢板内固定,术后1周开始功能锻炼,合并肌腱断裂者术后3周开始功能锻炼.结果术后全部患者获得3～9个月随访,无钢板断裂,全部骨折均顺利愈合,愈后外观无明显成角和旋转畸形.按手指关节总活动度(TAM)评定标准评分:优18处,良14处,可3处;优良率为91.4％.结论 3D微型钢板内固定治疗移位掌指骨骨折,可提供双平面及多方位牢靠的固定,尤其适用于粉碎性骨折及纵形骨折,有助于早期功能锻炼,是一种理想的内固定方法.
목적 분석3D미형강판내고정치료장、지골골절적근기림상효과.방법 대33례35처장、지골골절적환자,기중장골골절20처、근절지골골절15처,채용절개복위배측3D미형강판내고정,술후1주개시공능단련,합병기건단렬자술후3주개시공능단련.결과 술후전부환자획득3～9개월수방,무강판단렬,전부골절균순리유합,유후외관무명현성각화선전기형.안수지관절총활동도(TAM)평정표준평분:우18처,량14처,가3처;우량솔위91.4％.결론 3D미형강판내고정치료이위장지골골절,가제공쌍평면급다방위뢰고적고정,우기괄용우분쇄성골절급종형골절,유조우조기공능단련,시일충이상적내고정방법.
Objective To analyze the short term clinical results of 3D mini-plate internal fixation for the treatment of metacarpal and phalangeal fractures.Methods Thirty-three patients with 35 metacarpal and phalangeal fractures were treated with open reduction and 3D mini-plate fixation via a dorsal approach.There were 20 metacarpal fractures and 15 proximal phalanx fractures.Functional exercise started 1 week after the surgery in patients with fracture fixation only,and 3 weeks postoperatively in patients with combined tendon repair.Results All the patients were follow-up for 3 to 9 months.There was no plate fracture.All the fractures healed uneventfully.There were no obvious angular or rotational deformities.Rated by the total active range of motion (TAM) system,finger functions were excellent in 18 cases,good in 14 cases and fair in 3 cases,with an overall satisfactory rate of 91.4％.Conclusion 3D mini-plate provides dual-plane,multi-faceted firm fixation of metacarpal and phalangeal fractures with displacement.It is particularly suitable for unstable fractures such as comminuted fractures and longitudinal fractures.It facilitates early functional exercise and is an ideal internal fixation method.