摘要
目的 评价AO微型钢板治疗手部骨折的近期疗效。方法 2 5例手部骨折患者复位后用AO微型钢板行内固定。掌骨骨折 18例 (2 8块钢板 ) ,指骨骨折 6例 (6块 ) ,掌指骨同时骨折 1例。术后平均随访时间 4个月 (2～ 12个月 )。 2 5例都行切开复位钢板内固定。结果 根据TAF评分 ,2 2例为优良 ,优良率为 88%。畸形愈合 1例 ,手术感染 1例。所有病例均无骨不连发生。结论 AO微型钢板内固定是手部骨折理想的固定方法。只要适应证合理 ,掌握良好的手术技巧和术后早期功能锻炼 。
Objective To evaluate the short term treatment outcome of hand fracture with AO miniplates. Methods 25 cases of hand fractures were treated using AO steel miniplates. There were 18 cases with metacarpal fracture (28 miniplates), 6 cases with phalanx fracture(6 miniplates), one case with both phalanx and metacarpal fracture. Follow up averaged 4 months (range,2～12 months).All cases were treated with open reduction and internal fixation.Results According to the evaluation of TAF scales, excellent and good results were achieved in 22 cases, with excellent and good rate 88%. There was malunion at one case and infection at another case. No non union occurred at all cases. Conclusions Internal fixation with AO miniplates is an optimal method for hand fractures. Suitable indication, good command of operative technique and early motion after operation are necessary for good results.
出处
《中华手外科杂志》
CSCD
2002年第2期71-72,共2页
Chinese Journal of Hand Surgery
关键词
掌指骨骨折
AO微型钢板
内固定
Fractures
Metacarpus
Fracture of fixation,internal
Case report
