Abou Elatta M M, Assal F, Basheer H M, El Morshidy A F, Elglaind S M, Abdalla M A
Hand Unit, Al-Razi Hospital, Elshwiekh, Kuwait.
J Hand Surg Eur Vol. 2017 Feb;42(2):182-187. doi: 10.1177/1753193416674155. Epub 2016 Oct 22.
The aim of this study was to review the outcome of the treatment of finger proximal interphalangeal joint dorsal fracture subluxations and pilon fractures with a modified external fixator. We treated 36 patients (36 fingers). We assessed the ranges of motion and patient satisfaction. At final follow-up, 23 patients had no pain; 11 had pain in the cold; and two also had mild pain. None had moderate or severe pain. The mean range of proximal interphalangeal joint motion was 86° (60°-100°). The mean total active range of finger motion was 244° (range 200°-265°). This system is simple, cheap and relatively easily applied. It gives stable fixation that allows early mobilization.
IV.
本研究的目的是回顾采用改良外固定器治疗手指近节指间关节背侧骨折半脱位和髁间骨折的疗效。我们治疗了36例患者（36指）。我们评估了活动范围和患者满意度。在末次随访时，23例患者无疼痛；11例在寒冷时疼痛；2例也有轻度疼痛。无中度或重度疼痛。近节指间关节活动的平均范围为86°（60° - 100°）。手指活动的平均总主动范围为244°（范围200° - 265°）。该系统简单、便宜且相对易于应用。它能提供稳定的固定，允许早期活动。
IV。
