Hornbach E E, Cohen M S
Department of Orthopaedic Surgery, Rush-Presbyterian St. Luke's Medical Center, Chicago, Illinois 60612-4244, USA.
J Hand Surg Br. 2001 Feb;26(1):45-9. doi: 10.1054/jhsb.2000.0524.
This study reports the results of 12 unstable extraarticular fractures of the proximal phalanx treated with transarticular intramedullary Kirschner wires. Early proximal interphalangeal joint motion was allowed and all patients achieved uneventful union, with an average total active motion of 265 degrees. Objective physical assessment revealed one significant flexion contracture, one flexor tendon adhesion and one significant rotational deformity. Excellent results were observed in ten of the 12 patients.
本研究报告了采用经关节克氏针治疗的12例近端指骨不稳定关节外骨折的结果。允许早期进行近端指间关节活动，所有患者均顺利愈合，平均总主动活动度为265度。客观体格检查发现1例明显的屈曲挛缩、1例屈肌腱粘连和1例明显的旋转畸形。12例患者中有10例疗效优异。
