克氏针固定抽出钢丝法联合微型带线锚钉治疗骨性锤状指

发布时间：2018-06-16 01:37

本文选题：骨性锤状指 + 伸肌腱　；参考：《中国骨与关节损伤杂志》2016年11期

【摘要】：目的探讨克氏针斜穿固定远端指间关节,抽出钢丝法固定撕脱骨折块,微型带线锚钉重建伸肌腱止点联合治疗骨性锤状指的临床应用。方法自2013-09—2014-12对15例骨性锤状指采用克氏针斜穿固定远端指间关节,抽出钢丝法固定撕脱骨折块,微型带线锚钉重建伸肌腱止点。结果 15例术后均获得随访3~12个月,平均5个月。患指远端指间关节屈伸活动度:0°~70°4例,0°~60°8例,0°~55°2例,0°~30°1例。13例骨折骨性愈合,愈合时间平均3个月,其中2例背侧移位畸形愈合。2例术后骨折块移位,骨折不愈合。术后远端指间关节功能按Crawford功能评定方法评定:优8例,良5例,可2例。结论克氏针斜穿固定远端指间关节,抽出钢丝法固定撕脱骨折块,微型带线锚钉重建伸肌腱止点联合治疗骨性锤状指可达到坚强固定,术后远端指间关节功能恢复满意,疗效可靠。
[Abstract]:Objective to investigate the clinical application of Kirschner's needle for fixation of distal interphalangeal joint, extraction of steel wire for fixation of avulsion fracture and reconstruction of extensor tendon with mini-wire anchor nail. Methods from 2013-09 to 2014-12, 15 cases of bony hammery fingers were fixed with Kirschner's needle, the distal interphalangeal joint was fixed with steel wire, and the extensor tendon was reconstructed with mini-wire anchor nail. Results all the 15 cases were followed up for 3 ~ 12 months (mean 5 months). The flexion and extension activity of distal interphalangeal joint of the affected finger was 0 0 掳/ 70 掳(n = 4) 0 掳/ 60 掳(n = 8) 0 掳/ 55 掳(n = 2) 0 掳/ 55 掳(n = 1) 0 掳/ 30 掳(n = 13). The average healing time was 3 months (n = 2). The function of distal interphalangeal joint was evaluated by Crawford method: excellent in 8 cases, good in 5 cases, fair in 2 cases. Conclusion Kirschner's needle can be used to fix the distal interphalangeal joint by oblique puncture, pull out steel wire to fix the avulsion fracture block, and reconstruct extensor tendon with mini-wire anchor nail for the treatment of bony hammering finger. The function of distal interphalangeal joint can be recovered satisfactorily after operation. The curative effect is reliable.
【作者单位】：杭州市萧山区中医院骨科;
【分类号】：R687.32

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