微型钢板联合克氏针治疗Mallet骨折

doi:10.3969/j.issn.2095-378X.2018.01.006

外科研究与新技术 ›› 2018, Vol. 7 ›› Issue (1): 20-23.doi: 10.3969/j.issn.2095-378X.2018.01.006

微型钢板联合克氏针治疗Mallet骨折

姜超, 王志远, 戴亚辉, 祝晓忠

同济大学附属同济医院骨科,上海 200065

收稿日期:2017-12-18 发布日期:2019-12-12
通讯作者: 祝晓忠,电子邮箱:13601659463@163.com
作者简介:姜超(1988—),男,住院医师,硕士,从事骨创伤、骨肿瘤临床工作

Treatment of Mallet fractures using hook plate combined with K-wire technique

JIANG Chao, WANG Zhiyuan, DAI Yahui, ZHU Xiaozhong

Department of Orthopedic Surgery, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China

Received:2017-12-18 Published:2019-12-12

摘要/Abstract

摘要： 目的介绍应用微型钢板联合克氏针治疗Mallet骨折的手术方法及疗效。方法 2014年1月—2016年1月,应用微型钢板联合克氏针治疗11例Mallet骨折患者,术中采用远侧指间(DIP)关节背侧“S”形或“L”形切口暴露骨折端,直视下复位骨折块后用微型钢板内固定骨折端,一枚克氏针外固定DIP关节。术后4～6周拔除克氏针,加强DIP关节功能锻炼。结果所有患者术后行6～24个月随访,平均(15±6)个月,骨折均顺利愈合,愈合时间平均(5.5±1.5)周。术后DIP关节按Crawford功能评定方法评定:优5例,良4例,可2例。1例患者指甲出现轻微隆起,无关节炎、感染及内固定失效等并发症。结论应用微型钢板联合克氏针治疗Mallet骨折,既保留了钢板治疗的优势,又增加了骨折端稳定性,治疗效果满意。

关键词: Mallet骨折, 微型钢板, 治疗

Abstract: Objective To introduce the surgical technique and clinical outcome of treatment of Mallet fractures using hook plate combined with K-wire.Method From January 2014 to January 2016, 11 cases of Mallet fractures were treated with hook plate combined with K-wire. A dorsal S or L shaped incision was made at the distal interphalangeal (DIP) joint to expose the fracture site. Under direct visualization the fracture was reduced and fixed with mini hook plate, then use a K-wire to fix the DIP joint. The K-wire was extracted and DIP joint functional exercise was strengthened 4 to 6 weeks after operation.Results All the 11 cases were followed-up for 6 to 24 months with an average of (15±6) months. All the fractures healed successfully with an average of (5.5±1.5)weeks. Based on Crawford’s evaluation criteria of DIP joints, the results were excellent for 5 cases, good for 4 cases, and fair for 2 cases. Raised ridge of nail was seen in 1 case.There were no arthritis, infection, intemal fixation failure, and other complications.Conclusion The application of hook plate combined with K-wire technique in the treatment of Mallet fractures not only retains the advantages of plate treatment, but also increases the stability of fracture site, showing satisfactory treatment effect.

Key words: Mallte fracture, Hook plate, Treatment

中图分类号:

R683.41

姜超, 王志远, 戴亚辉, 祝晓忠. 微型钢板联合克氏针治疗Mallet骨折[J]. 外科研究与新技术, 2018, 7(1): 20-23.

JIANG Chao, WANG Zhiyuan, DAI Yahui, ZHU Xiaozhong. Treatment of Mallet fractures using hook plate combined with K-wire technique[J]. Surgical Research and New Technique, 2018, 7(1): 20-23.

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微型钢板联合克氏针治疗Mallet骨折

Treatment of Mallet fractures using hook plate combined with K-wire technique

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