使用髓内空心无头加压螺钉对掌骨骨折进行逆行固定。
Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws.
作者信息
Jann D, Calcagni M, Giovanoli P, Giesen T
机构信息
Department for Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland.
Department for Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zurich, Switzerland.
出版信息
Hand Surg Rehabil. 2018 Apr;37(2):99-103. doi: 10.1016/j.hansur.2017.12.005. Epub 2018 Mar 2.
UNLABELLED
We analyzed the results of 20 unstable metacarpal fractures in 15 patients treated with a cannulated compression screw and no immobilization. All fractures healed within 6 weeks. One patient with multiple fractures and a flexion deficit required arthrolysis of two metacarpophalangeal joints. Another patient had an extension lag. There were no other complications. This fast and easy technique results in good outcomes for unstable metacarpal fractures. The advantages are early active motion without immobilization and stable fixation. Surgical removal of the screw is rarely needed.
LEVEL OF EVIDENCE
IV (therapeutic).
未标注
我们分析了15例患者20处不稳定掌骨骨折采用空心加压螺钉治疗且未进行固定的结果。所有骨折均在6周内愈合。1例多发骨折且伴有屈曲功能障碍的患者需要对两个掌指关节进行关节松解。另1例患者存在伸展滞后。无其他并发症。这种快速简便的技术对于不稳定掌骨骨折能产生良好的治疗效果。其优点是无需固定即可早期进行主动活动以及固定稳定。很少需要手术取出螺钉。
证据等级
IV（治疗性）。
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