Rosifini Alves Rezende Luis G
Hospital of Clinics of Ribeirao Preto Medical School, University of São Paulo, São Paulo, Brazil.
Tech Hand Up Extrem Surg. 2023 Mar 1;27(1):17-21. doi: 10.1097/BTH.0000000000000403.
Extra-articular base fractures of the thumb are typical in hand surgeon practice. Nonoperative methods (spica) and operative methods are available for its management. There are operative methods described, such as plate and screws, Kirschner wires, and intramedullary screws. However, there is only a retrograde technique described. This study aims to present a new technique of an anterograde intramedullary headless compression screw to manage the extra-articular thumb metacarpal base fracture. This minimally invasive method allows an early range of motion and does not cross the articular surface of the thumb. This alternative fixation method has the advantage of low damage to soft tissues and good functional outcomes.
拇指关节外基底骨折在手部外科医生的临床实践中很常见。对于其治疗，有非手术方法（石膏托）和手术方法可供选择。目前已有一些手术方法被描述，如钢板螺钉、克氏针和髓内螺钉。然而，仅有一种逆行技术被描述。本研究旨在介绍一种新型顺行无头髓内加压螺钉技术，用于治疗拇指掌骨基底关节外骨折。这种微创方法允许早期进行活动范围练习，且不会穿过拇指的关节面。这种替代固定方法具有软组织损伤小、功能预后良好的优点。
