摘要
目的介绍钢丝环扎治疗指伸肌腱止点撕脱骨折的方法和临床效果。方法2010年1月至2012年1月，我们对15例15指指伸肌腱止点撕脱骨折患者采用钢丝环扎手术治疗，其中示指8例，小指7例。术后联合支具制动患指于近指问关节屈曲45°-60°位、远指问关节过伸位6周。结果本组15例患者术后12至16周骨折均愈合。术后所有患者均获得随访，随访时间为4～16个月，平均12个月。根据Patel等锤状指疗效评价标准评定，患指远指问关节功能恢复优8例，良7例。结论钢丝环扎治疗指伸肌腱止点撕脱骨折，手术操作简单，治疗费用低，远指间关节功能恢复满意，是一种较理想的治疗方法。
Objective To introduce the surgical procedure and clinical outcomes of treating mallet finger caused by avulsion fracture of the distal phalanx base and extensor tendon lesion with tension band loop fixation. Methods From January 2010 to January 2012, 15 cases （ 15 fingers） of mallet finger deformity caused by avulsion fracture of the distat phalanx base and extensor tendon lesion were treated with tension band loop fixation. There were 8 index fingers and 7 small fingers. Postoperatively the treated finger was immobilized with a splint to keep the proximal interphalangeal （PIP） joint at 45° to 60 ° flexion and the distal interphalangeal （DIP） joint at hyperextension. Results The fracture of all the cases healed well 12 to 16 weeks postoperatively. All the patients were follow-up for 4 to 16 months with an average of 12 montlrs. According to Patel＇ s evaluation criteria for mallet fingers, function of the DIP joint was rated as excellent in 8 cases and good in 7 cases. Conclusion It is an ideal method to repair mallet finger caused by avulsion fracture of the distal phalanx base and extensor tendon lesion with steel-wire loop and fixation. This method is simple with low cost, and the function of the repaired finger can achieve satisfactory results.
出处
《中华手外科杂志》
CSCD
北大核心
2015年第5期360-361,共2页
Chinese Journal of Hand Surgery
关键词
腱损伤
治疗结果
锤状指
Tendon injuries
Treatment outcome
Mallet fingers
