Agarwal Anil K, Pickford Mark A
Department of Plastic Surgery, The Queen Victoria Hospital, West Sussex, UK.
Ann Plast Surg. 2006 Aug;57(2):206-12. doi: 10.1097/01.sap.0000215925.58902.bc.
Current osteosynthesis systems for the hand generally recommend thicker plates for metacarpal than for phalangeal fractures. We report a prospective review of 20 hand fractures treated with a new plating system in which 0.6-mm-profile-height plates are used for both metacarpals (11 cases) and phalanges (9 cases). After a follow-up period ranging from 6 to 24 months, there were 8 excellent, 7 good, and 2 poor results (American Society for Surgery of the Hand criteria), with no incidence of plate failure. These outcomes were compared with a matched cohort of 20 similar fractures treated with the widely used Stryker-Leibinger system. We found no significant differences in ranges of motion or complications between the 2 groups. The new plating system was technically straightforward to use and equally effective. Use of the thinner microplates for metacarpal fractures was not associated with any untoward outcomes.
目前用于手部的骨合成系统一般建议，治疗掌骨骨折时使用的钢板要比治疗指骨骨折时更厚。我们报告了一项对20例手部骨折采用新型钢板系统治疗的前瞻性研究，其中掌骨骨折（11例）和指骨骨折（9例）均使用了剖面高度为0.6毫米的钢板。在6至24个月的随访期后，结果为优8例、良7例、差2例（根据美国手外科协会标准），未发生钢板失效情况。将这些结果与一组采用广泛使用的史赛克-莱宾格系统治疗的20例类似骨折病例进行匹配对照。我们发现两组之间在活动范围或并发症方面无显著差异。这种新型钢板系统在技术上使用简单且效果相同。在掌骨骨折中使用较薄的微型钢板未出现任何不良后果。
