west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "掌指骨骨折" 3 results
  • 微型钢板治疗掌指骨骨折的疗效分析

    目的 回顾性分析微型钢板治疗掌、指骨骨折的效果,评价其临床应用价值。 方法 2003 年1 月-2007 年6 月,采用微型钢板治疗掌、指骨骨折134 例174 处。男101 例,女33 例;年龄15 ~ 48 岁,平均27.8 岁。掌骨骨折105 处,指骨骨折69 处。闭合性骨折71 处,开放性骨折103 处。其中粉碎性骨折68 处,斜形或螺旋形骨折46 处,横形骨折32 处,粉碎性骨折合并骨质缺损13 处,病理性骨折(内生软骨瘤)合并骨质缺损15 处。合并伸屈肌腱损伤或神经损伤18 处,皮肤缺损11 处,累及关节的骨折16 处。伤后至手术时间2 ~ 72 h,平均6 h。 结果 术后伤口除1 例感染外,均Ⅰ期愈合。皮瓣供区Ⅰ期愈合。患者均获随访,随访时间6 ~ 12 个月,平均8.2 个月。X 线片示骨折线于术后6 ~ 11周消失。伤指外观无明显成角及旋转畸形。术后因疼痛不愿活动致关节僵硬3 指,累及关节的骨折致创伤性关节炎1 指,延迟愈合2 指,伤口感染1 指。无骨不连及畸形愈合。按照TAM 系统评定法,优115 处,良39 处,可12 处,差8 处,优良率88.5%。 结论 微型钢板治疗掌指骨骨折是一种有效的内固定方法

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
  • Clinical Research of Mini-plate for the Treatment of Metacarpal and Phalangeal Fractures and Early Rehabilitation

    ObjectiveTo discuss the clinical curative effect of internal fixation for metacarpal and phalanx fractures using stainless steel mini-plate and the early rehabilitation. MethodsThe study included 47 cases treated from January 2006 to June 2011, including 25 cases of 72 phalangeal fractures, 17 cases of 43 metacarpal fractures, and 5 cases of 23 complex metacarpal and phalangeal fractures. All the patients underwent open reduction and micro-plate internal fixation. Three days after surgery, passive function training was initiated. Patients accompanied with blood vessel damage began the training one week later. The training was carried out based on the early rehabilitation schedule. ResultsPrimary healing occurred in all the 47 cases. There was one case of broken plate because of crashing. Postoperative follow-up lasted for 4 to 10 months, and the fractures were healed in 138 lesions. X-ray examination showed that bone union took place at week 8 to 11 averaging at 10. According to the functional evaluation of total autive movement scales, the excellent and good rate was 83.0%. ConclusionThe stainless steel mini-plate in the treatment of metacarpal and phalangeal fractures has a firm fixation and is advantageous. Combined with early rehabilitation training, it can maximize the recovery of hand function with satisfactory clinical results.

    Release date: Export PDF Favorites Scan
  • Effectiveness comparison between ultrasound-guided and C-arm-guided in closed reduction and pinning for treatment of metacarpophalangeal fractures

    Objective To compare the effectiveness between ultrasound-guided and C-arm-guided in closed reduction and pinning for the treatment of metacarpophalangeal fractures. Methods The clinical data of 30 patients with metacarpophalangeal fractures between October 2015 and November 2016 were retrospectively analyzed. According to different treatments, the patients were divided into ultrasound group (using ultrasound-guided closed reduction and pinning, n=15) and C-arm group (using C-arm-guided closed reduction and pinning, n=15). There was no significant difference in gender, age, disease duration, causes of injury, injured finger, location of injury finger, fracture classification between 2 groups (P>0.05). The status and success rate of reduction were compared (excellent, good, and acceptable grades could be regarded as the successful reduction). The operation time, intraoperative fluoroscopy times, and fracture healing time were recorded. And the postoperative functional recovery was evaluated according to the total active movement (TAM) by the standard functional evaluation issued by Hand Surgery Association of Chinese Medical Association. Results The operation time of ultrasound group was longer than C-arm group, and the intraoperative fluoroscopy times was less than C-arm group, all showing significant differences (P<0.05). There was no signifi cant difference in the grade and the success rate of reduction between 2 groups (P>0.05). All the patients were followed up 6-18 months (mean, 10 months), without malunion, joint stiffness, tendon adhesions, and other complications. There was also no significant difference in the fracture healing time, the grade of TAM, and the excellent and good rate of TAM between 2 groups (P>0.05). Conclusion The treatment of ultrasound-guided closed reduction and pinning for metacarpophalangeal fractures is effective, which is a feasible auxiliary method of closed reduction and fixation for fracture. And less fluoroscopy can reduce the radiation damage of operation.

    Release date:2017-10-10 03:58 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content