Brüser P, Krein R, Larkin G
Department of Hand, Plastic and Reconstructive Surgery, Malteser Krankenhaus, Bonn, Germany.
J Hand Surg Br. 1999 Dec;24(6):683-7. doi: 10.1054/jhsb.1999.0296.
We retrospectively reviewed the use of biodegradable hemi-cerclage sutures in the treatment of 79 metacarpal fractures in 66 patients. The polyglycolic acid hemi-cerclages achieved sufficient fracture fixation to permit early motion exercises, but fractures were also immobilized for a mean of 3.7 (range, 1.5-6) weeks postoperatively, during which time physiotherapy was given. Adequate bony stability was achieved after a mean of 4.5 (range, 3.5-7) weeks and fracture redisplacement occurred in only one case.
我们回顾性分析了66例患者79例掌骨骨折使用可生物降解半环扎缝线治疗的情况。聚乙醇酸半环扎实现了足够的骨折固定,从而允许早期活动锻炼,但骨折术后平均固定3.7周(范围1.5 - 6周),在此期间进行物理治疗。平均4.5周(范围3.5 - 7周)后实现了足够的骨稳定性,仅1例发生骨折再移位。