摘要
目的探讨应用微型钛板螺钉融合手指近指问关节的手术疗效。方法采用塑形后的微型钛板螺钉对29例（44指）男性患者的手指近指间关节进行融合，手术均采用背侧入路。结果术后29例均获得4～7个月的随访，伤口无感染及皮肤坏死，融合关节临床愈合时间为6-8周，X线片骨性愈合时间为2-3个月，无延迟愈合、骨不连或畸形愈合。结论本术式操作简单，掌握容易；缩短骨性愈合时间；大大降低骨不连的发生率、畸形愈合率、针道感染及骨髓炎的发病率。
Objective To investigate the surgical effect of proximal interphalangeal joint arthrodesis using mini-titanium plates and screws. Methods The proximal interphalangeal joint of 44 digits in 29 male patients were fused with contoured mini-titanium plates and screws. All the arthrodesis was done via a dorsal approach. Results All 29 patients were followed up for 4 to 7 months. There were no infection and skin necrosis. Clinical union of the arthrodesis took 6 to 8 weeks, while bony union on X-my was achieved by 2 to 3 months. No delayed union, nonunion or deformed union was seen. Conclusion This surgical procedure is straight forward and easy to master. It reduces bony union time, incidence of nonunion, maltmion, needle track infection and osteomvelitis.
出处
《中华手外科杂志》
CSCD
北大核心
2009年第5期283-285,共3页
Chinese Journal of Hand Surgery
关键词
内固定器
指关节
关节融合术
Internal fixators
Finger joint
Arthrodesis
