Chernavskiĭ V A, Lazarev A A, Panfilov V M
Vestn Khir Im I I Grek. 1975 Jan;114(1):89-91.
At present, widely used intraosseous and paraosseous methods of osteosynthesis of digital phalanges are traumatic for soft tissues and hand joints, and provide inadequate security of fragments. A closed transosseous osteosynthesis with fine metallic needles is free from these shortcomings. Its main advantage lies in the fact that it requires no immobilization in a plaster dressing. This enables to start therapeutic exercises early enough and to gain better functional results after digital fractures. 178 patients were operated upon. The results obtained were studied in 68 patients: good-in 43, satisfactory-in 21, poor-in 4.
目前,广泛应用的指骨骨内和骨旁接骨方法对软组织和手部关节具有创伤性,且骨折碎片固定安全性不足。采用细金属针进行闭合穿骨接骨术则没有这些缺点。其主要优点在于无需石膏固定。这使得能够尽早开始治疗性锻炼,并在指骨骨折后获得更好的功能恢复效果。对178例患者进行了手术。对68例患者的治疗结果进行了研究:优43例,良21例,差4例。