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掌侧开口楔形截骨术治疗第五掌骨颈骨折畸形愈合

Palmar opening wedge osteotomy for malunion of fifth metacarpal neck fractures.

作者信息

Zhang Xu, Liu Ze, Shao Xinzhong, Wang Le, Huang Xiuge, Zhu Hongwei

机构信息

Hand Surgery Department, Second Hospital of Qinhuangdao, Changli, Qinhuangdao; Department of Orthopaedic Surgery, People's Hospital of Lulong, Lulong, Qinhuangdao; Chinese Medical Association in Qinhuangdao, Qinhuangdao; Hand Surgery Department, Third Hospital of Hebei Medical University, Shijiazhuang; and Hand Surgery Department, Second Hospital of Qinhuangdao, Affiliated Hospital of Chengde Medical College, Chengde, Hebei, China.

出版信息

J Hand Surg Am. 2013 Dec;38(12):2461-5. doi: 10.1016/j.jhsa.2013.09.020. Epub 2013 Nov 1.

Abstract

Malunion of fifth metacarpal neck fractures may present an aesthetic problem that needs surgical correction. This article reports palmar opening wedge osteotomy for the treatment of malunion of fifth metacarpal neck fractures in 21 hands. The length of the fifth metacarpal was increased using the technique. We also present long-term results in patients using the technique. Palmar opening wedge osteotomy is a successful surgical technique for the treatment of malunion of fifth metacarpal neck fractures.

摘要

第五掌骨颈骨折畸形愈合可能会导致美学问题,需要手术矫正。本文报道了采用掌侧开放性楔形截骨术治疗21例手部第五掌骨颈骨折畸形愈合的情况。运用该技术增加了第五掌骨的长度。我们还展示了采用该技术治疗患者的长期效果。掌侧开放性楔形截骨术是治疗第五掌骨颈骨折畸形愈合的一种成功的手术技术。

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