第五掌骨颈部骨折的病灶内复位与经皮固定：手术技术描述
Intra-focal reduction and percutaneous fixation of neck fractures of the fifth metacarpal: description of surgical technique.
作者信息
Ferreira Gustavo Pacheco Martins, Pires Paulo Randal, Portugal André Lopes, Schneiter Henrique de Gouvêa
机构信息
Hospital Maria Amélia Lins, Belo Horizonte, MG, Brazil.
Hospital Risoleta Tolentino Neves, Belo Horizonte, MG, Brazil.
出版信息
Rev Bras Ortop. 2014 Mar 27;49(2):116-20. doi: 10.1016/j.rboe.2014.03.013. eCollection 2014 Mar-Apr.
OBJECTIVE
to demonstrate a surgical technique for treating neck fractures of the fifth metacarpal, by means of reduction through intra-focal manipulation and percutaneous fixation using Kirschner wires, with the aims of making it easier to achieve and maintain the reduction during the operation and enabling reduction of these fractures even if a fibrous callus has formed.
METHODS
a series of ten patients with neck fractures of the fifth metacarpal presenting palmar angles greater than 30° underwent the surgical technique described, as examples, and their results were evaluated through postoperative radiographs and clinical examinations.
RESULTS
all the patients achieved reductions that were close to anatomical and evolved to consolidation of the fracture in the position obtained.
CONCLUSION
the surgical technique described is effective, easy to carry out, minimally invasive and low-cost, thereby enabling adequate clinical and radiographic reduction, even in subacute fractures already presenting a fibrous callus.
目的
演示一种治疗第五掌骨颈部骨折的手术技术，即通过病灶内手法复位及使用克氏针经皮固定，目的是在手术过程中更易于实现并维持复位，即使已形成纤维性骨痂也能实现这些骨折的复位。
方法
以一系列10例第五掌骨颈部骨折且掌侧角大于30°的患者为例，对其采用所述手术技术，并通过术后X线片和临床检查评估结果。
结果
所有患者均实现了接近解剖学的复位，并在获得的位置上骨折愈合。
结论
所述手术技术有效、易于实施、微创且成本低，从而即使在已出现纤维性骨痂的亚急性骨折中也能实现充分的临床和影像学复位。
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