Sacchetto M, Pochon J P
Chirurgische Klinik, Universitäts-Kinderspital Zürich.
Z Kinderchir. 1989 Oct;44(5):286-8. doi: 10.1055/s-2008-1043253.
From 1982 to 1984 140 patients with fractures of the fingers were admitted to the department of surgery of the University Children's Hospital. Only 28 patients (21.5%) suffered from intraarticular fractures. Three 3/12 years later, 10 patients (35.7%) presented functional trouble or suffered from pain. Only 2 of the 15 conservatively treated patients had trouble. On the other hand, 8 children out of the 13 operatively treated patients presented an unsatisfactory result. Localisation, type of fracture and kind of treatment are analysed. We prefer as a rule conservative treatment excepting fractures of type Salter III and IV, osseous ruptures of the ulnar collateral ligament of the thumb and dislocated fractures. We suggest splinting with 0.6 mm K-wires.
1982年至1984年期间，140名手指骨折患者入住大学儿童医院外科。仅有28名患者（21.5%）发生关节内骨折。3又3/12年后，10名患者（35.7%）出现功能障碍或疼痛。15名保守治疗的患者中只有2名出现问题。另一方面，13名接受手术治疗的患者中有8名效果不理想。本文分析了骨折的部位、类型及治疗方式。一般来说，除了Salter III型和IV型骨折、拇指尺侧副韧带骨断裂及脱位骨折外，我们更倾向于保守治疗。我们建议用0.6毫米的克氏针进行固定。
