摘要
目的探讨微型骨锚钉治疗手指近指间关节掌板撕脱性损伤临床疗效。方法自2015年6月至2018年5月对5例手指过伸型损伤所致近指间关节背侧脱位患者,掌板撕脱伴中节指骨基底累及关节面撕脱骨折,掌侧入路,摘除碎骨,采用微型锚钉重建掌板撕脱止点。结果伤口均I期愈合,随访时间为4-26个月,平均12个月,近指间关节屈伸活动度为50°-85°,关节稳定,无侧方异常活动,关节活动时无明显疼痛不适,根据中华医学会手外科学会上肢部分功能评定试用标准评定疗效:优2例,良3例。结论微型骨锚钉重建掌板止点可提供近指间关节初始稳定性,有助于早期功能锻炼,有利于中节指骨基底关节面重塑,是治疗手指近指间关节掌板撕脱性损伤的理想选择之一。
Objective To investigate the clinical efficacy of mini-bone anchor in the treatment of volar plate avulsion injury of proximal interphalangeal joint. Methods From June 2015 to May 2018, 5 patients with dorsal dislocation of proximal interphalangeal joint caused by finger hyperextension injury were treated. The volar plate avulsion accompanied by articular surface avulsion fracture at the base of middle phalanx occurred. The volar approach was used to remove fragments and reconstruct the insertion of volar plate avulsion with mini-anchor. Results All the wounds achieved primary healing. The follow-up period ranged from 4 to 26 months with an average of 12 months. The flexion and extension of the proximal interphalangeal joint ranged from 50° to 85°. The joint was stable and had no lateral abnormal movement. There was no obvious pain and discomfort during the joint movement. According to the upper extremity functional evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association, the results were excellent in 2 cases and good in 3 cases. Conclusion The reconstruction of volar plate insertion with mini-bone anchor can provide the initial stability of the proximal interphalangeal joint, help early functional exercise, and help to reconstruct the basal articular surface of the middle phalanx. It is one of the ideal choices for the treatment of volar plate avulsion injury of proximal interphalangeal joint.
作者
王凯
巨积辉
金光哲
郭礼平
郭全伟
Wang Kai;Ju Jihui;Jin Gnangzhe;Guo Liping;Guo Quanwei(Department of Hand Surgery, Ruihua Hospital Affiliated to Suzhou University, Suzhou 215104, China)
出处
《中华手外科杂志》
CSCD
北大核心
2019年第4期267-269,共3页
Chinese Journal of Hand Surgery
基金
江苏省青年医学人才项目(QNRC2016223).
关键词
掌板
治疗结果
近指间关节
微型锚钉
Vblar plate
Treatment outcome
Proximal interphalangeal joint
Mini-anchor
