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论著:急诊闭合复位经皮克氏针固定治疗新鲜指骨骨折
Closed Reduction and Percutaneous Kirschner Wire Fixation for Fresh Phalanges Fractures
吴荣博 刘德昌 熊敏
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作者单位:复旦大学附属金山医院骨科
中文关键字:闭合复位;克氏针;指骨骨折
英文关键字:Closed reduction; Kirschner wire; Phalanges fracture
中文摘要:目的:探讨急诊闭合复位经皮克氏针固定治疗成人新鲜指骨骨折的手术方法和疗效。方法:急诊采用克氏针固定成人新鲜指骨骨折11例,在C臂机透视下闭合复位,经皮用2枚直径为1.2 mm的克氏针固定。结果:随访9~12个月,11例患者术后均无克氏针断裂和钉道感染,X线显示骨折愈合时间1.5~3.5个月。根据中华医学会手外科学会上肢部分功能评定关节主动活动度(total active motion, TAM)评定标准进行患指功能评定:优8例,良2例,差1例,优良率为90.9%。结论:闭合复位经皮克氏针固定治疗指骨骨折具有手术创伤小,操作简便,手术时间短,骨愈合快,术后患指功能恢复好的优点。
英文摘要:Objective: To evaluate the outcome of fresh phalanges fractures treated with acute closed reduction and percutaneous kirschner wire fixation. Methods:Eleven patients with phalanges fractures urgently underwent closed reduction using the fluoroscopic C arm, and then percutaneous fixation with 1.2 mm Kirschner wire was performed. Results: Eleven patients were followed up from 9 to 12 months. The healing rate was 100% and no infection or screw breakage occurred. X ray showed the fracture healing time was from 1.5 to 3.5 months. According to total active motion (TAM) score, 8 cases were excellent, 2 cases were good, 1 case was poor, 90.9% of patients were satisfied. Conclusions: Early detection and appropriate treatment of phalanges fractures is the key to favorable outcome.
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