Solomon Jason, Culp Randall W
Department of Orthopedic Surgery, Arrowhead Regional Medical Center, 400 North Pepper Avenue, Colton, CA 92324, USA.
The Philadelphia Hand Center, Thomas Jefferson University, 700 South Henderson Road, Suite 200, King of Prussia, PA 19406, USA.
Hand Clin. 2017 Nov;33(4):787-794. doi: 10.1016/j.hcl.2017.07.006.
Bennett fracture is the most common fracture of the thumb. Choosing the appropriate approach to fracture fixation requires a thorough knowledge of the anatomy surrounding the first carpometacarpal joint, which is necessary to prevent injury to local sensory nerves and tendons. Although no study has shown superior outcomes compared with open reduction internal fixation and fluoroscopically guided closed reduction and percutaneous pinning, arthroscopic-assisted fixation allows for debridement of the carpometacarpal joint, direct visualization of the articular surface during reduction, and has minimal morbidity and associated complications.
本内特骨折是拇指最常见的骨折。选择合适的骨折固定方法需要全面了解第一掌腕关节周围的解剖结构，这对于防止局部感觉神经和肌腱损伤是必要的。尽管没有研究表明与切开复位内固定以及透视引导下闭合复位经皮穿针固定相比有更好的效果，但关节镜辅助固定可对掌腕关节进行清创，在复位过程中直接观察关节面，并且发病率和相关并发症最低。
