CAJ | 학술논문

目的：探讨应用Orthofix‐微型外固定支架治疗第一掌骨基底部Bennett骨折的临床疗效。方法回顾性分析2008年1月至2013年1月该院收治的17例新鲜性Bennett骨折患者。其中男性14例，女性3例，均采用Orthofix‐微型外固定支架治疗。术后根据骨折愈合情况，记录拆除外固定架时间。术后3个月与6个月，采用上肢臂、肩、手功能调查量表（DASH）进行评分，随访终末期采用指总关节活动度（TAM ）进行评价。结果17例患者均获得随访，手术时间为20～40 min ，平均29．1 min ，术中出血量10～35 mL ，平均12．5 mL。术后X线片所有患者均骨性愈合，其中16例获得解剖复位，1例骨折对线良好，术后3、6个月、终末期DASH评分比较，差异均有统计学意义（P＜0．05）。随访终末期，TAM评分优14例，良2例，差1例。随访期间未发生钉道感染、桡神经浅支损伤等并发症。结论采用 Orthofix‐微型外固定支架治疗新鲜性Bennett骨折效果可靠、操作简单，具有一定的推广价值。
목적：탐토응용Orthofix‐미형외고정지가치료제일장골기저부Bennett골절적림상료효。방법회고성분석2008년1월지2013년1월해원수치적17례신선성Bennett골절환자。기중남성14례，녀성3례，균채용Orthofix‐미형외고정지가치료。술후근거골절유합정황，기록탁제외고정가시간。술후3개월여6개월，채용상지비、견、수공능조사량표（DASH）진행평분，수방종말기채용지총관절활동도（TAM ）진행평개。결과17례환자균획득수방，수술시간위20～40 min ，평균29．1 min ，술중출혈량10～35 mL ，평균12．5 mL。술후X선편소유환자균골성유합，기중16례획득해부복위，1례골절대선량호，술후3、6개월、종말기DASH평분비교，차이균유통계학의의（P＜0．05）。수방종말기，TAM평분우14례，량2례，차1례。수방기간미발생정도감염、뇨신경천지손상등병발증。결론채용 Orthofix‐미형외고정지가치료신선성Bennett골절효과가고、조작간단，구유일정적추엄개치。
Objective To explore the application of Orthofix‐mini external fixation for the treatment of clinical first basal metacarpal Bennett fracture .Methods A retrospective analysis of 17 cases of fresh Bennett in 2008 Janu‐ary‐2013 year in January in our hospital in patients with fracture .There were 14 males ,3 females ,were treated by Orthofix‐micro external fixation for the treatment of .According to postoperative healing of the fractures ,external fixators were removed time record .After 3 months and 6 months ,with upper arm ,shoulder ,hand function question‐naire (disabilities of the arm ,shoulder and hand ,DASH) score ,followed by a total of end‐stage joint activity (total action movement ,TAM) evaluation .Results 17 patients were followed up ,operation time was 20 -40 min ,average 29 .1 min ,the amount of intraoperative bleeding 10-35 mL ,average 12 .5 mL .Postoperative X‐films of all patients were healed ,including 16 cases obtained anatomical reduction ,1 cases of fracture of good to the line ,after March ,af‐ter June ,end‐stage DASH score two two comparison ,the difference was statistically significant (P<0 .05) .Follow up of ESRD ,TAM score was excellent in 14 cases ,good in 2 cases ,poor in 1 cases .The follow‐up period without the occurrence of pin tract infection ,superficial branch of radial nerve injury and other complications .Conclusion Using Orthofix‐mini external fixation for the treatment of fresh fractures of Bennett effect is reliable ,the operation is sim‐ple ,has a certain popularization value .