CAJ | 학술논문

目的介绍钢丝环扎治疗指伸肌腱止点撕脱骨折的方法和临床效果.方法 2010年1月至2012年1月,我们对15例15指指伸肌腱止点撕脱骨折患者采用钢丝环扎手术治疗,其中示指8例,小指7例.术后联合支具制动患指于近指间关节屈曲45°～60°位、远指间关节过伸位6周.结果本组15例患者术后12至16周骨折均愈合.术后所有患者均获得随访,随访时间为4～ 16个月,平均12个月.根据Patel等锤状指疗效评价标准评定,患指远指间关节功能恢复优8例,良7例.结论钢丝环扎治疗指伸肌腱止点撕脱骨折,手术操作简单,治疗费用低,远指间关节功能恢复满意,是一种较理想的治疗方法.
목적 개소강사배찰치료지신기건지점시탈골절적방법화림상효과.방법 2010년1월지2012년1월,아문대15례15지지신기건지점시탈골절환자채용강사배찰수술치료,기중시지8례,소지7례.술후연합지구제동환지우근지간관절굴곡45°～60°위、원지간관절과신위6주.결과 본조15례환자술후12지16주골절균유합.술후소유환자균획득수방,수방시간위4～ 16개월,평균12개월.근거Patel등추상지료효평개표준평정,환지원지간관절공능회복우8례,량7례.결론 강사배찰치료지신기건지점시탈골절,수술조작간단,치료비용저,원지간관절공능회복만의,시일충교이상적치료방법.
Objective To introduce the surgical procedure and clinical outcomes of treating mallet finger caused by avulsion fracture of the distal phalanx base and extensor tendon lesion with tension band loop fixation.Methods From January 2010 to January 2012, 15 cases (15 fingers) of mallet finger deformity caused by avudsion fracture of the distal phalanx base and extensor tendon lesion were treated with tension band loop fixation.There were 8 index fingers and 7 small fingers.Postoperatively the treated finger was immobilized with a splint to keep the proxinal interphalangeal (PIP) joint at 45° to 60 ° flexion and the distal interphalangeal (DIP) joint at hyperextension.Results The fracture of all the cases healed well 12 to 16 weeks postoperatively.All the patients were follow-up for 4 to 16 months with an average of 12 months.According to Patel' s evaluation criteria for mallet fingers, function of the DIP joint was rated as excellent in 8 cases and good in 7 cases.Conclusion It is an ideal method to repair mallet finger caused by avulsion fracture of the distal phalanx base and extensor tendon lesion with steel-wire loop and fixation.This method is simple with low cost, and the function of the repaired finger can achieve satisfactory results.