摘要
目的:探讨中节指骨基底掌侧撕脱骨折伴近指间关节背侧脱位的治疗方法并评价其临床疗效。方法:收集中节指骨基底掌侧撕脱骨折伴近指间关节背侧脱位患者10例,根据Hasting分型进行分类,分别采用保守与手术治疗,积极进行术后功能锻炼。结果:术后随访3～26个月,平均11.8个月。根据近指间关节骨折脱位Ishi-da-Ikuta评分系统,优良率70%;影像评价骨折复位良好、一期愈合;短期并发症少。结论:无论保守或手术治疗中节指骨基底掌侧撕脱骨折伴近指间关节背侧脱位,解剖复位是治疗的关键,术后积极进行康复锻炼,效果满意。
Objective： Investigate the Treatment of volar lip fracture of middle phalangeal base with dorsal dislocation of proximal interphalangeal joint and evaluate the treatment effectiveness. Method： During two years 10 patients that confronted volar lip fracture of middle phalangeal base with dorsal dislocation of proximal interphalangeal joint accepted treatment. According to classification of Hasting - subtype, we adopted conservative and operative treatment and rehabilitation after operation. Result： The follow- ups lasted from 3 to 26 months, with a mean period of 11.8 months. On the basis of scoring system of lshida- Ikuta for evaluation of the results of PIP joint fracture- dislocation, the ratio of excellent- good was 70%. Imaging show good reduction and one- stage union. Short- term complication was few. Conclusion： Treatment effectiveness was satiffactory regardless of the application of conservative or operative treatment for volar lip fracture of middle phalangeal base with dorsal dislocation of proximal interphalangeal joint, the key of therapy is anatomic reduction, and rehabilitation exercises actively postoperation.
出处
《华西医学》
CAS
2007年第3期552-554,共3页
West China Medical Journal
关键词
指骨
近指间关节
骨折脱位
背侧
疗效
middle phalanges
interphalangeal joint
proximal
fracttrre-dislocation
dorsal
treatment effectiveness
