CAJ | 학술논문

目的探讨使用T型掌指骨钢板联合克氏针固定治疗Rolando骨折的手术方法与治疗效果.方法使用斜T型或直T型掌指骨钢板及联合克氏针固定治疗Rolando骨折患者11例,术后随访参照手指关节总活动度(TAM)评定法评价掌指关节活动功能.结果术后患者掌指关节活动功能良好,克氏针针孔未并发感染,X线片复查显示所有患者骨折达到或者接近解剖复位,骨折愈合时间6～ 12周,平均6.4周.讨论使用斜T型或直T型掌指骨钢板及联合克氏针固定治疗Rolando骨折,关节面复位良好,骨折固定有效,牢靠,是治疗Rolando骨折的有效方法.
목적 탐토사용T형장지골강판연합극씨침고정치료Rolando골절적수술방법여치료효과.방법 사용사T형혹직T형장지골강판급연합극씨침고정치료Rolando골절환자11례,술후수방삼조수지관절총활동도(TAM)평정법평개장지관절활동공능.결과 술후환자장지관절활동공능량호,극씨침침공미병발감염,X선편복사현시소유환자골절체도혹자접근해부복위,골절유합시간6～ 12주,평균6.4주.토론 사용사T형혹직T형장지골강판급연합극씨침고정치료Rolando골절,관절면복위량호,골절고정유효,뢰고,시치료Rolando골절적유효방법.
Objective To investigate the surgical techniques and clinical outcomes of using T-shape volar plate combined with Kirschner wire fixation for treatment of Rolando fractures.Methods Inclined or straight T-shape volar plate was used in conjunction with Kirschner wires to treat Rolando fractures in 11 patients.Postoperatively movement of the metacarpophalangeal joint was evaluated using the total active range of motion of the finger joints.Results Postoperative movement of the metacarpophalangeal joint was good.There was no needle track infection.X rays showed that anatomical reduction or near anatomical reduction was achieved in all the patients.Fracture healing time ranged from 6 to 12 weeks,with an average of 6.4 weeks.Conclusion Combination of inclined or straight T-shape volar plate and Kirschner wire fixation is an effective method for treatment of Rolando fractures.It achieves proper articular surface reduction and effective,reliable bone fixation.