Oc Yunus, Kilinc Bekir Eray, Varol Ali, Kara Adnan
Medilife Health Group, Bagcilar Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.
Health Science University Istanbul Fatih Sultan Mehmet Training and Research Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.
Adv Orthop. 2021 Feb 8;2021:6632211. doi: 10.1155/2021/6632211. eCollection 2021.
To evaluate the clinical and radiological results of closed reduction, distraction using an external fixator, and percutaneous fixation in patients with Bennet and Rolando fractures.
Patients over 18 years of age, who had isolated fracture at the base of the first metacarpal bone, had no previous functional limitations and pain complaints, were regularly followed up, and had fixation using K-wire combined with an external fixator, were included. Arthrosis was evaluated according to Eaton and Littler classification. Pain intensity was evaluated using the visual analogue scale (VAS) on a 0-10 scale. Furthermore, patients were questioned regarding limitations in their daily activities and hobbies. Pinch and grasp strengths were evaluated.
Thirteen of the patients were male and five were female, with a mean age of 31.5 ± 12.5 years. The surgical procedure was performed on the right extremity in 12 patients and left extremity in six patients. Twelve patients were found to have Bennet fractures, whereas six patients had Rolando fractures. The mean follow-up period of the patients was found to be 29.6 ± 5.4 months. The VAS score was rated as 2 in one patient and 1 in one patient. Other patients had a pain VAS score of 0. The mean Quick-DASH score was calculated to be 1.20. No statistical difference was found in pinch strength between the two extremities ( > 0.05). No difference was observed in terms of the range of motion ( > 0.05).
Fixation using K-wire combined with an external fixator has more benefits than its disadvantages and is superior to other methods in the intra-articular fractures of the first metacarpal bone.
评估闭合复位、使用外固定架进行牵引以及经皮固定治疗Bennet骨折和Rolando骨折患者的临床及影像学结果。
纳入年龄超过18岁、第一掌骨基底孤立骨折、既往无功能受限及疼痛主诉、接受定期随访且采用克氏针联合外固定架固定的患者。根据伊顿（Eaton）和利特勒（Littler）分类法评估关节病。使用视觉模拟评分法（VAS）在0至10分的范围内评估疼痛强度。此外，询问患者日常活动和爱好方面的受限情况。评估捏力和握力。
13例患者为男性，5例为女性，平均年龄31.5±12.5岁。12例患者在右上肢进行手术，6例患者在左上肢进行手术。12例患者为Bennet骨折，6例患者为Rolando骨折。患者的平均随访期为29.6±5.4个月。1例患者VAS评分为2分，1例患者为1分。其他患者的疼痛VAS评分为0分。平均Quick-DASH评分为1.20分。两侧肢体的捏力无统计学差异（>0.05）。在活动范围方面未观察到差异（>0.05）。
克氏针联合外固定架固定利大于弊，在第一掌骨关节内骨折方面优于其他方法。
