Rha Eun young, Lee Min cheol, Lee Jung ho, Moon Suk ho, Rhie Jong won, Oh Deuk young
Acta Orthop Belg. 2015 Jun;81(2):296-302.
The purpose of this paper is to introduce a simple and intuitive treatment method using an 18-gauge needle for mallet fractures that involve more than one-third of the articular surface. We performed a retrospective review of 17 patients who underwent closed reduction using an 18-gauge needle with transfixation of Kirschner wire between March 2007 and October 2013. According to the Wehbe and Schneider classification, 15 cases were type IB, 1 was type IIB, and 1 was type IIC. The mean size of bony fragments at the time of injury was 53 percent of the articular surface of the distal phalanx. According to Crawford's criteria, 6 of 17 patients had an excellent result, 9 had a good result and 2 had fair results. Our method of percutaneous reduction using an 18-gauge needle with transfixation of Kirschner wire is minimally invasive and is useful for the fixation of mallet fractures.
本文的目的是介绍一种使用18号针治疗累及关节面超过三分之一的锤状指骨折的简单直观的治疗方法。我们对2007年3月至2013年10月期间17例使用18号针进行闭合复位并克氏针固定的患者进行了回顾性研究。根据韦布和施奈德分类法，15例为IB型，1例为IIB型，1例为IIC型。受伤时骨碎片的平均大小为远节指骨关节面的53%。根据克劳福德标准，17例患者中6例结果为优，9例为良，2例为可。我们使用18号针经皮复位并克氏针固定的方法微创，对锤状指骨折的固定很有用。
