Franz T, Haxhosaj Q, von Wartburg U, Hug U
Department of Hand and Plastic Surgery, Luzerner Kantonsspital, Spitalstrasse 16, 6000 Luzern, Switzerland; Hand Surgery Service, Department of Surgery, Uster Hospital, Brunnenstrasse 42, 8610 Uster, Switzerland.
Department of Hand and Plastic Surgery, Luzerner Kantonsspital, Spitalstrasse 16, 6000 Luzern, Switzerland.
Hand Surg Rehabil. 2018 Apr;37(2):124-125. doi: 10.1016/j.hansur.2018.01.003. Epub 2018 Feb 13.
Most extra-articular fractures of the proximal phalanges (P1) of the triphalangeal fingers can be treated conservatively with good results. Prerequisites for successful fracture treatment are intact soft tissue without any lesions of the extensor hood and stable initial fracture reduction. The key to functional conservative treatment of P1 fractures is to immobilize the metacarpophalangeal joints in flexion, resulting in equilibrium of flexor and extensor forces across the fracture site, which converts these inherently unstable fractures into relatively stable fractures. Precise initial application of the cast and regular follow-up of the patient is essential for successful treatment. By means of an instructional video, an overview of the equipment required is given, and the correct application of a Lucerne Cast is illustrated step-by-step.
三指节手指近节指骨（P1）的大多数关节外骨折可以采用保守治疗，效果良好。成功治疗骨折的前提是软组织完整，伸肌帽无任何损伤，且初始骨折复位稳定。P1骨折功能保守治疗的关键是将掌指关节固定于屈曲位，使屈肌和伸肌力量在骨折部位达到平衡，从而将这些本质上不稳定的骨折转变为相对稳定的骨折。准确地初次应用石膏并对患者进行定期随访是成功治疗的关键。通过教学视频，介绍了所需设备的概况，并逐步演示了卢塞恩石膏的正确应用方法。
