摘要
目的探讨双侧接骨板内固定治疗掌、指骨粉碎性骨折的效果。方法对38例40指新鲜粉碎性掌指骨骨折采用切开复位双侧接骨板内固定,术后早期功能训练。结果本组骨折均解剖复位,骨性愈合,随访6～26个月,按TAM系统评定方法评定,优良34例35指,优良率87.5%。结论双侧接骨板内固定治疗掌、指骨粉碎性骨折,固定牢靠,有利于手功能恢复,疗效满意。
Objective To report the treatment outcome of internal fixation of the metacarpal and phalangeal comminuted fractures using double miniplates and nails. Methods The fresh metacarpal and phalange comminuted fractures in 38 patients were treated by open in- ternal fixation with double miniplates and given early postoperative mobilization. Results The X-ray showed anatomical reduction oc- curred in all the fractures. The average follow-up was 6-26 months. According to the evaluation of TAM scales, excellent and good results were achieved in 34 patients, with excellent and good rate 87.5%.Conclusion The treatment of metacarpal and phalangeal comminuted fractures with 2 miniplates is recommendable. It could provide stable internal fixation and allow early rehabilitation.
出处
《中国骨与关节损伤杂志》
2010年第2期109-110,共2页
Chinese Journal of Bone and Joint Injury
关键词
掌骨骨折
指骨骨折
内固定术
微型接骨板
Metacarpal fractures
Phalangeal fractures
Fractures fixation
Miniplate
