CAJ | 학술논문

目的探讨闭合复位克氏针支架固定治疗第五掌骨粉碎性骨折的手术方法和临床效果.方法对31例新鲜第五掌骨粉碎性骨折患者采用闭合复位克氏针支架固定,术后早期功能训练.结果本组31例骨折均解剖复位,骨性愈合,28例获得随访,时间6～29个月,平均16.5个月.按手指关节总活动度(TAM)系统评定方法评定:优16例,良10例,可2例;优良率92.9％.结论闭合复位克氏针支架固定治疗第五掌骨粉碎性骨折,操作简便,固定可靠,疗效满意;手术时间短,治疗费用低.
목적 탐토폐합복위극씨침지가고정치료제오장골분쇄성골절적수술방법화림상효과.방법 대31례신선제오장골분쇄성골절환자채용폐합복위극씨침지가고정,술후조기공능훈련.결과 본조31례골절균해부복위,골성유합,28례획득수방,시간6～29개월,평균16.5개월.안수지관절총활동도(TAM)계통평정방법평정:우16례,량10례,가2례;우량솔92.9％.결론 폐합복위극씨침지가고정치료제오장골분쇄성골절,조작간편,고정가고,료효만의;수술시간단,치료비용저.
Objective To report the surgical technique and clinical outcomes of closed reduction and fixation with Kirschner wire holder for treatment of comminuted fractures of the fifth metacarpal.Methods Thirty-one cases of fresh comminuted fractures of the fifth metacarpal were treated by closed reduction and fixation with Kirschner wire holder, followed by early postoperative rehabilitation.Results Anatomical reduction and bone union were achieved in all the fractures.Sufficient follow-up of 6 to 29 months (16.5 months on average) was obtained in 28 patients.According to the finger total active motion (TAM) scales, the results were excellent in 16 cases, good in 10 cases and fair in 2 cases with an excellent and good rate of 92.9％.Conclusion Closed reduction and fixation with Kirschner wire holder is an effective method for treating comminuted fractures of the fifth metacarpal.It has several advantages such as simple operation, reliable fixation, satisfactory results,short operation time and low treatment costs.