中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2015年
4期
281-284
,共4页
冯伟%邢丹谋%任东%陈焱%王欢%赵志明%彭正人
馮偉%邢丹謀%任東%陳焱%王歡%趙誌明%彭正人
풍위%형단모%임동%진염%왕환%조지명%팽정인
腕掌关节%骨折%脱位%克氏针%带线锚钉
腕掌關節%骨摺%脫位%剋氏針%帶線錨釘
완장관절%골절%탈위%극씨침%대선묘정
Carpometacarpal joints%Fractures,bone%Dislocations%Kirschner wire%Suture anchor
目的 探讨经皮克氏针结合带线锚钉治疗腕掌关节骨折脱位的临床疗效.方法 2009年10月至2013年5月,共收治18例腕掌关节骨折脱位患者.应用经皮克氏针固定腕掌关节骨折脱位并根据韧带损伤情况选用带线锚钉重建修复腕掌关节背侧韧带.术后前臂石膏托外固定4周,拔除克氏针,去除外固定后进行功能锻炼.结果 术后18例患者获得9～24个月随访,平均14.5个月,骨折均愈合,愈合时间8～ 12周,平均9.5周,克氏针无断裂,腕掌关节无再次脱位及半脱位.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13例,良4例,可1例;优良率94.44％.结论 经皮克氏针结合带线锚钉治疗腕掌关节骨折脱位,可提供多平面、多方位牢靠的固定,有助于早期功能锻炼,是治疗腕掌关节骨折脱位的理想选择之一.
目的 探討經皮剋氏針結閤帶線錨釘治療腕掌關節骨摺脫位的臨床療效.方法 2009年10月至2013年5月,共收治18例腕掌關節骨摺脫位患者.應用經皮剋氏針固定腕掌關節骨摺脫位併根據韌帶損傷情況選用帶線錨釘重建脩複腕掌關節揹側韌帶.術後前臂石膏託外固定4週,拔除剋氏針,去除外固定後進行功能鍛煉.結果 術後18例患者穫得9～24箇月隨訪,平均14.5箇月,骨摺均愈閤,愈閤時間8～ 12週,平均9.5週,剋氏針無斷裂,腕掌關節無再次脫位及半脫位.根據中華醫學會手外科學會上肢部分功能評定試用標準評定:優13例,良4例,可1例;優良率94.44％.結論 經皮剋氏針結閤帶線錨釘治療腕掌關節骨摺脫位,可提供多平麵、多方位牢靠的固定,有助于早期功能鍛煉,是治療腕掌關節骨摺脫位的理想選擇之一.
목적 탐토경피극씨침결합대선묘정치료완장관절골절탈위적림상료효.방법 2009년10월지2013년5월,공수치18례완장관절골절탈위환자.응용경피극씨침고정완장관절골절탈위병근거인대손상정황선용대선묘정중건수복완장관절배측인대.술후전비석고탁외고정4주,발제극씨침,거제외고정후진행공능단련.결과 술후18례환자획득9～24개월수방,평균14.5개월,골절균유합,유합시간8～ 12주,평균9.5주,극씨침무단렬,완장관절무재차탈위급반탈위.근거중화의학회수외과학회상지부분공능평정시용표준평정:우13례,량4례,가1례;우량솔94.44％.결론 경피극씨침결합대선묘정치료완장관절골절탈위,가제공다평면、다방위뢰고적고정,유조우조기공능단련,시치료완장관절골절탈위적이상선택지일.
Objective To evaluate the clinical outcomes of treating carpometacarpal joint dislocation and fracture with percutaneous Kirschner wire and suture anchor.Methods A total of 18 patients with carpometacarpal joint dislocation and fracture were treated by percutaneous Kirschner wire fixation from October 2009 to May 2013.Suture anchor was used to repair the dorsal carpometacarpal ligaments.Forearm cast was applied for 4 weeks postoperatively to immobilize the wrist.Functional exercise was resumed after removal of the cast and Kirschner wires.Results All 18 patients were follow-up for an average of 14.5 months (range,9 to 24 months).Bone union was achieved in all the cases,with an average bone healing time of 9.5 weeks (range,8 to 12 weeks).No breakage of Kirschnerw wire and carpometacarpal joint dislocation was observed.According to the upper extremity functional evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association,the results were excellent in 13 cases,good in 4 cases,and fair in 1 case,with an excellent and good rate of 94.44％.Condusion Percutaneous Kirschner wire and suture anchor provide multi-plane,multi-faceted firm fixation of carpometacarpal joint dislocation and fracture.It facilitates early functional exercise.It is hence one of the ideal choices for the treatment of carpometacarpal joint dislocation and fracture.
