期刊文献+

微型钛网内固定治疗复杂性近节指骨骨折临床分析 被引量:1

Clinical analysis of the complexity of the proximal phalanx fracture fixation with mini titanium mesh
原文传递
导出
摘要 目的:探讨微型钛网内固定治疗复杂性近节指骨骨折的临床效果。方法选择复杂性近节指骨骨折患者70例(82指),应用微型钛网内固定治疗,观察患者骨折愈合(X 线片检查结果)时间及术后手指功能恢复情况。结果该组患者70例(82指)均获得随访,随访时间12~18个月,平均15.8个月。其中74指伤口Ⅰ期愈合,8指伤口出现延迟愈合,经换药后均愈合良好;70例82指均骨折愈合,愈合(X 线片显示)时间为8~10周,平均为9.7周。根据1975年美国手外科学会推荐的 TAM(total active move-ment,TAM)系统评定方法:优44例,良20例,可4例,差2例,优良率91.43%。结论微型钛网对复杂性近节指骨骨折内固定效果良好,术后手指功能恢复满意。 Objective To discuss the clinical effect of fixation for complex fractures of the proximal phalanx with mini titanium mesh.Methods 70 cases(82 fingers)with complexity proximal phalanx fracture were selected, they were treated with micro titanium mesh fixation.The fracture healing (X -ray examination)time and postoperative functional recovery of finger were observed.Results 70 patients were followed up for 12 -18 months,average of 15.8 months.74 fingers were Ⅰ wound healing,delayed wound healing in 8 fingers,after dressing healed well. 70 patients with 82 fractures were all healed(X -ray)after 8 -10 weeks,average of 9.7 weeks.According to 1975 American Society of Hand Surgery recommended TAM(total active movement,TAM)system evaluation method,excellent in 44 cases,good in 20 cases,fair in 4 cases and poor in 2 cases,the good rate was 91.43%.Conclusion The effect of micro titanium mesh within the complex proximal phalanx fracture fixation is good,with satisfactory functional recovery of finger.
出处 《中国基层医药》 CAS 2016年第23期3650-3652,共3页 Chinese Journal of Primary Medicine and Pharmacy
关键词 骨折 粉碎性 指骨骨折 骨折固定术 骨固定钢丝 Fractures,comminuted Phalangeal fracture Fracture fixation,internal Bone wires
  • 相关文献

参考文献6

二级参考文献30

  • 1王天兵,姜保国,傅中国,张殿英,陈建海.AO微型纯钛板钉内固定治疗掌指骨关节内骨折[J].中华手外科杂志,2004,20(2):90-91. 被引量:25
  • 2任继鑫,刘智,孙天胜,李京生,刘树清.锁定加压钢板内固定治疗中老年女性桡骨远端粉碎性骨折[J].中华创伤骨科杂志,2006,8(3):229-232. 被引量:19
  • 3王澍寰.手外科学[M]2版[M].北京:人民卫生出版社,2000.446-450.
  • 4顾玉东.如何治疗手部骨折-评AO微型钢板的应用价值.中华手外科杂志,2002,18(2):65-65.
  • 5Rlledil P,Murphy WM.骨折治疗的AO原则.王满宜,杨庆铭,曾炳芳,译.北京:华夏出版社,2003:45-74.
  • 6Omokawa S, Fujitani R, Dohi Y, et al. Prospective outcomes of comminuted periarticular metacarpal and phalangeal fractures treated using a titanium plate system. J Hand Surg Am, 2008,33 : 857-863.
  • 7Niemeyer P, Stldkamp NP. Principles and clinical application of the locking compression plate (LCP). Acta Chir Orthop Tranmatol Cech, 2006,73 : 221-228.
  • 8Schaefer M,Siebert HR.Finger and metacarpal fractures.Surgical and nonsurgical treatment procedures.I[J].Unfallchimrg,2000,103(6):482-494.
  • 9Freeland AE,Orbay JL.Exteraarticular hand fractures in adults:a review of new developments[J].Clin Orthop Relat Res,2006,445:133-145.
  • 10GreeneTL,Noellert RC,Belsole RJ,et al.Composite wiring of metacarpal and phalangeal fractures[J].J Hand Surg Am,1989,14(4):665-669.

共引文献4067

同被引文献12

引证文献1

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部