Jha Amrit, Dua Apoorv, Gadkari Alok, Yadav Amit Kumar, Goyal Navneet
Department of Orthopaedics, , Wrightington Hospital, Wigan United Kingdom.
Department of Orthopaedics, Dr. Baba Saheb Ambedkar Hospital, New Delhi, India.
J Orthop Case Rep. 2022 Oct;12(10):107-109. doi: 10.13107/jocr.2022.v12.i10.3388.
Among all the phalanges, most fractured is the proximal phalanx. Frequently encountered complications are malunion, stiffness, and soft-tissue injury which invariably increase the disability. The aim of fracture reduction, therefore, comprises acceptable alignment and the gliding of the flexor and extensor tendons are maintained. Factors affecting management are fracture location, type of fracture, soft-tissue injury, and fracture stability.
A 26-year-gentlemen, right hand dominant, a clerk by occupation, came to emergency with right-hand index finger pain, swelling, and unable to move the right index finger treated with debridement, wound wash, and external fixator frame made with K wire and needle cap. Fracture united in 6 weeks with good hand function and the full range of motion of the hand.
Mini fixator for phalanx fracture is a cheap and reasonably effective procedure. A needle cap fixator is a good alternative in difficult situations, it helps in correcting the deformity as well as keeps the joint surface distracted.
在所有指骨中，最常发生骨折的是近节指骨。常见的并发症包括畸形愈合、僵硬和软组织损伤，这些都会不可避免地增加残疾程度。因此，骨折复位的目的包括获得可接受的对线，并保持屈指肌腱和伸指肌腱的滑动。影响治疗的因素包括骨折部位、骨折类型、软组织损伤和骨折稳定性。
一名26岁男性，右利手，职业为职员，因右手示指疼痛、肿胀且无法活动而前来急诊，接受了清创、伤口冲洗以及用克氏针和针帽制作的外固定架治疗。骨折在6周内愈合，手部功能良好，手部活动范围正常。
用于指骨骨折的微型固定器是一种廉价且相当有效的方法。在困难情况下，针帽固定器是一个很好的选择，它有助于矫正畸形并使关节面保持分离。
