摘要
目的探讨应用微型外固定架结合有限内固定治疗开放性粉碎性掌指骨骨折方法及疗效。方法自2002年以来对38例46处手开放性粉碎性掌指骨骨折应用微型外固定架治疗。结果术后随访6个月至2年,无骨不连及骨髓炎并发症,临床愈合时间平均6周,手功能恢复按TAM标准评价优良率达78.9%。结论微型外固定架结合有限内固定治疗手部开放性粉碎性掌指骨骨折创伤小,固定可靠,愈合率高,利于早期功能锻炼,有良好的治疗效果。
Objective To discuss the treatment of open comminution metacarpal and phalangeal fractures within the hand with miniature external fixation combined finite internal fixation. Methods Since 2002,thirty two cases with open comminution metacarpal and phalangeal fractures were treated with miniature external fixation combined internal fixation. Results All the patients were followed up for six months to two years. All patients were healed. The average time of fractures heal was 6 weeks. According to TAM standard,the excellent and good rate were 78.9 percent. Conclusion The form of extemal fixation devic of hand is simple and active. It holds the bone fixedly with fast healing and convenience for exercise. It also has very good effect on open comminution metacarpal and phalangeal fractures
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第15期1932-1933,共2页
Chongqing medicine
关键词
粉碎性掌指骨骨折
微型外固定架
有限内固定
comminution metacarpal and phalangeal fractures
miniature external fixation
finite internal fixation
