Ibn el kadi K, Chbani B, Benabid M, Almoubaker S, Boutayeb F
Service de traumatologie orthopédie A, CHU Hassan II de Fès, résidence Bilal, n(o) 10, boulevard Almadina Mounaouara, Hay Amal, Narjiss, Fès, Maroc.
Chir Main. 2012 Dec;31(6):337-43. doi: 10.1016/j.main.2012.10.165. Epub 2012 Oct 30.
The aim of this study is to show the benefits of surgical treatment of intra articular fractures of the base of the fifth metacarpal by intermetacarpal double pinning.
It is a retrospective study of 20 cases of intra-articular fractures of the base of the fifth metacarpal treated by percutaneous pinning, between January 2004 and December 2010. All patients had a closed reduction and intermetacarpal double pinning.
After a mean of 19 months, we could review only 18 patients. The overall results were satisfactory, except for two patients who reported intermittent pain with changing weather and intense use of the hand, and a case of reflex sympathetic dystrophy syndrome after surgery. The evaluation of results was based on clinical criteria related to pain, mobility and grip strength, and on radiological criteria after analysis of specific hemato-metacarpal radiographs.
Intermetacarpal double pinning is a technique of choice in surgical treatment of intra-articular fractures of the base of the fifth metacarpal. It ensures good closed reduction and a satisfactory functional result.
本研究旨在展示通过掌骨间双针固定治疗第五掌骨基底关节内骨折的手术治疗益处。
这是一项对2004年1月至2010年12月间采用经皮穿针治疗的20例第五掌骨基底关节内骨折患者的回顾性研究。所有患者均进行了闭合复位及掌骨间双针固定。
平均19个月后，我们仅能对18例患者进行复查。总体结果令人满意，除了2例患者报告在天气变化和手部过度使用时有间歇性疼痛，以及1例术后出现反射性交感神经营养不良综合征的病例。结果评估基于与疼痛、活动度和握力相关的临床标准，以及在分析特定的掌骨X线片后的放射学标准。
掌骨间双针固定是治疗第五掌骨基底关节内骨折的一种手术选择技术。它能确保良好的闭合复位及满意的功能结果。
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