Buck-Gramcko D, Oehme S
Abteilung für Handchirurgie und Plastische Chirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Handchir Mikrochir Plast Chir. 1988 Mar;20(2):99-106.
In this study the results of digital arthrodeses with intraosseous wiring and Kirschner-wire were compared with other operative techniques. The report is based on 309 operations performed between 1979 and 1982. The indications were mostly traumatic and posttraumatic joint lesions. Here the best results were obtained with the technique of intraosseous wiring and Kirschner-wires. On an average, it took seven weeks to full radiological and clinical bony union. Also the functional results after digital arthrodeses with different techniques were studied. With a mean total active range of motion of 76.8% compared with normal, this technique showed good results. Compression screw arthrodeses, tension-band arthrodeses and digital arthrodeses with crossed Kirschner-wires were performed only for special indications during the period covered by the report.
在本研究中，将采用骨内钢丝和克氏针进行的数字关节固定术的结果与其他手术技术进行了比较。该报告基于1979年至1982年间进行的309例手术。适应症主要是创伤性和创伤后关节损伤。在此，骨内钢丝和克氏针技术取得了最佳效果。平均而言，完全放射学和临床骨愈合需要七周时间。还研究了采用不同技术进行数字关节固定术后的功能结果。与正常情况相比，该技术的平均总主动活动范围为76.8%，显示出良好的效果。在报告所涵盖的期间，加压螺钉关节固定术、张力带关节固定术和交叉克氏针数字关节固定术仅用于特殊适应症。
