Keramidas Evangelos G, Miller Gavin
Department of Plastic and Reconstructive Surgery, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
Plast Reconstr Surg. 2005 Oct;116(5):1326-31. doi: 10.1097/01.prs.0000181786.39062.0b.
Suzuki et al. in 1994 described the pins and rubber traction system for comminuted intraarticular fractures and fracture-dislocations of the proximal interphalangeal joint of the hand. The authors used the pins and rubber traction system to treat five complex fractures of the thumb.
From February of 1999 to April of 2003, five patients, four men and one woman, had a pins and rubber traction system applied for complex fractures of the interphalangeal joint (two patients) and metacarpophalangeal joint (three patients) of the thumb. The mean age of the patients was 35.4 years (range, 28 to 50 years). The system was applied for 4 weeks in all cases.
The mean follow-up period was 23.6 months. The mean range of total movement for the metacarpophalangeal joint was 55 degrees (45 degrees of flexion and 10 degrees of extension). The two patients with the interphalangeal joint fractures achieved flexion of 0 to 65 degrees and 0 to 55 degrees, respectively. Joint space narrowing was observed in three cases. One patient had persistent swelling of the metacarpophalangeal joint 14 months after the initial treatment but had no functional deficit or pain. No pin track infection was observed in this series.
Previous reports regarding the application of the pins and rubber traction system have focused on pilon fractures and dorsal fracture-dislocation of the proximal interphalangeal joint. In the present study, the authors described their experience with application of the Suzuki frame for complex intraarticular fractures of the thumb. The authors believe that the pins and rubber traction system can be used to treat difficult intraarticular fractures of the thumb, with very good functional results.
1994年铃木等人描述了用于手部近端指间关节粉碎性关节内骨折和骨折脱位的钢针与橡胶牵引系统。作者使用该钢针与橡胶牵引系统治疗了5例拇指复杂骨折。
1999年2月至2003年4月，5例患者（4例男性，1例女性）接受了钢针与橡胶牵引系统治疗拇指指间关节（2例患者）和掌指关节（3例患者）的复杂骨折。患者平均年龄为35.4岁（范围28至50岁）。所有病例中该系统均应用4周。
平均随访期为23.6个月。掌指关节的平均总活动范围为55度（屈曲45度，伸展10度）。2例指间关节骨折患者分别实现了0至65度和0至55度的屈曲。3例患者观察到关节间隙变窄。1例患者在初始治疗后14个月掌指关节持续肿胀，但无功能缺陷或疼痛。本系列中未观察到针道感染。
先前关于钢针与橡胶牵引系统应用的报告主要集中在Pilon骨折和近端指间关节背侧骨折脱位。在本研究中，作者描述了他们应用铃木支架治疗拇指复杂关节内骨折的经验。作者认为，钢针与橡胶牵引系统可用于治疗拇指困难的关节内骨折，功能效果非常好。
