钩骨骨折无头加压螺钉固定后的功能结果
Functional Outcome following Headless Compression Screw Fixation for Hamate Fractures.
作者信息
van Rijckevorsel Veronique A J I M, Selles Caroline A, van der Vlies Cornelis H, Cleffken Berry I, Schep Niels W L
机构信息
Department of Hand and Trauma Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands.
出版信息
J Wrist Surg. 2020 Apr;9(2):164-169. doi: 10.1055/s-0039-1695765. Epub 2019 Aug 30.
Hamate fractures can be treated nonoperatively, with the percutaneous Kirschner wire (K-wire) fixation, or with excision of a fractured hook of the hamate. Screw fixation is less popular owing to the risk of iatrogenic ulnar nerve injury. The aim of this study was to present the functional results of patients with hamate fractures treated with headless compression screws (HCS). The primary outcome was the Michigan Hand Outcome Questionnaire (MHOQ) after at least 4 months of follow-up. Nine patients were included in this retrospective cohort study. A median MHOQ total score of 67% was reported (interquartile range [IQR]: 44-76). No complications were found during follow-up. HCS fixation is a safe alternative to treat hamate fractures with good functional outcome. This is a Level IV study.
钩骨骨折可采用非手术治疗、经皮克氏针固定或切除骨折的钩骨钩进行治疗。由于存在医源性尺神经损伤的风险，螺钉固定不太常用。本研究的目的是介绍采用无头加压螺钉（HCS）治疗钩骨骨折患者的功能结果。主要结局指标是至少随访4个月后的密歇根手部结局问卷（MHOQ）。本回顾性队列研究纳入了9例患者。报告的MHOQ总分中位数为67%（四分位间距[IQR]：44 - 76）。随访期间未发现并发症。HCS固定是治疗钩骨骨折的一种安全替代方法，功能结果良好。这是一项IV级研究。
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