指背侧双纵形切口微型单孔钩状钢板内固定治疗骨性锤状指_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

赵文韬 ¹ ,  赵民 ² , 吴金英 ³ , 张文桐 ² , 张涛 ² , 李海雷 ² , 李大村 ²

1. ;
2. ;
3. ;

Corresponding author：

赵民, Email: zhoamin699@163.com

Keywords：

骨性锤状指; 伸肌腱; 远侧指间关节; 钩状钢板

DOI：

10.7507/1002-1892.202007093

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目的总结指背侧双纵行切口微型单孔钩状钢板内固定治疗骨性锤状指的临床疗效。方法 2019 年 1 月—2020 年 3 月，采用末节指背侧双纵行切口微型单孔钩状钢板内固定治疗 26 例骨性锤状指患者。男 20 例，女 6 例；年龄 20～68 岁，平均 43.6 岁。Wehbe 和 Schneider 分型：ⅠA 型 2 例，ⅠB 型 5 例，ⅡA 型 3 例，ⅡB 型 12 例，ⅡC 型 4 例。伤后至手术时间 1～7 d，平均 3.5 d。术后 3 个月按 Crowford 评分标准评定功能。结果 26 例患者均获随访，随访时间 3～12 个月，平均 6 个月。术后切口均Ⅰ期愈合，术后 2 个月骨折获骨性愈合。末次随访时 X 线片示无骨关节炎表现，无远侧指间关节脱位及半脱位。术后 3 个月按 Crowford 评分标准，获优 10 例，良 16 例。结论指背侧双纵形切口微型单孔钩状钢板内固定治疗骨性锤状指，可提供坚强内固定、维持解剖对位、术后早期活动远侧指间关节，术后功能恢复良好。

Citation： 赵文韬, 赵民, 吴金英, 张文桐, 张涛, 李海雷, 李大村. 指背侧双纵形切口微型单孔钩状钢板内固定治疗骨性锤状指. Chinese Journal of Reparative and Reconstructive Surgery, 2021, 35(1): 137-138. doi: 10.7507/1002-1892.202007093 Copy

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1. Teoh LC, Lee JY. Mallet fractures: a novel approach to internal fixation using a hook plate. J Hand Surg (Eur Vol), 2007, 32(1): 24-30.
2. Lee SH, Lee JE, Lee KH, et al. Supplemental method for reduction of irreducible mallet finger fractures by the 2-extension block technique: the dorsal counterforce technique. J Hand Surg (Am), 2019, 44(8): 695.e1-695.e8.
3. Zhang W, Zhang X, Zhao G, et al. Pressing fixation of mallet finger fractures with the end of a K-wire (a new fixation technique for mallet fractures). Injury, 2016, 47(2): 377-382.
4. Miura T. Extension block pinning using a small external fixator for mallet finger fractures. J Hand Surg (Am), 2013, 38(12): 2348-2352.
5. Fábio S, Thiago A, Rogério S, et al. Osteosynthesis of mallet finger using plate and screws: evaluation of 25 patients. Rev Bras Ortop, 2016, 51(3): 268-273.
6. Toker S, Türkmen F, Pekince O, et al. Extension block pinning versus hook plate fixation for treatment of mallet fractures. J Hand Surg (Am), 2015, 40(8): 1591-1596.

Chinese Journal of Reparative and Reconstructive Surgery

指背侧双纵形切口微型单孔钩状钢板内固定治疗骨性锤状指

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