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第一近节指骨关节内基底骨折的桥接钢板固定——相较于外固定的优势

Bridge Plating of a First Proximal Phalanx Intra-articular Base Fracture-Benefits Over External Fixation.

作者信息

Ahmad Farhan, Xu Brian, Michalski Joseph, Simcock Xavier C, Wysocki Robert W

机构信息

Rush University Medical Center, Chicago, IL.

出版信息

J Hand Surg Glob Online. 2022 Oct 8;5(2):211-214. doi: 10.1016/j.jhsg.2022.09.003. eCollection 2023 Mar.

DOI:10.1016/j.jhsg.2022.09.003
PMID:36974284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10039245/
Abstract

A 62-year-old right-handed man presented with an intra-articular fracture of the proximal phalanx base of the right thumb after a motor vehicle accident. Computed tomography revealed severe comminution, apex volar angulation, and minimal bone stock at the proximal phalanx base. The patient consented to open reduction internal fixation with a locking plate to bridge the fracture and cancellous bone grafting of the distal radius. The hardware was removed at 8 weeks, without complications. The patient began therapy, and at 19 weeks following the surgery, the patient's thumb metacarpophalangeal joint motion was 10° to 30° and the interphalangeal motion was 30° to 50°. Radiographs showed fracture union and proper alignment, with modest shortening. The patient was satisfied with this result. Bridge plating may be an alternative to external fixation for certain thumb fractures, with the potential to maintain alignment and articular congruity while permitting earlier return to activities of daily living and avoiding the risk of pin-track infections.

摘要

一名62岁的右利手男性在机动车事故后出现右手拇指近节指骨基底关节内骨折。计算机断层扫描显示严重粉碎、掌侧成角以及近节指骨基底骨量极少。患者同意采用锁定钢板切开复位内固定以桥接骨折，并进行桡骨远端松质骨移植。8周时取出内固定物，无并发症。患者开始接受治疗，术后19周，患者拇指掌指关节活动度为10°至30°，指间关节活动度为30°至50°。X线片显示骨折愈合且对线良好，有轻度缩短。患者对该结果满意。对于某些拇指骨折，桥接钢板固定可能是外固定的一种替代方法，有可能维持对线和关节一致性，同时允许更早恢复日常生活活动并避免针道感染风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/800baece0ef9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/cfba7658f898/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/a3b4e51502bf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/fbf88de400f9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/6a85ba684718/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/d85b2261ecc1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/800baece0ef9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/cfba7658f898/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/a3b4e51502bf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/fbf88de400f9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/6a85ba684718/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/d85b2261ecc1/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b60/10039245/800baece0ef9/gr6.jpg

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2
Dorsal Bridge Plating versus External Fixation for Distal Radius Fractures.桡骨远端骨折的背侧钢板固定与外固定比较
J Wrist Surg. 2020 Apr;9(2):177-184. doi: 10.1055/s-0039-1694063. Epub 2019 Aug 8.
3
Management of Metacarpal and Phalangeal Fractures in the Athlete.运动员掌骨和指骨骨折的处理。
Clin Sports Med. 2020 Apr;39(2):401-422. doi: 10.1016/j.csm.2019.12.002.
4
Use of the Bridge Plate Technique for the Treatment of Hamatometacarpal Fracture-Dislocations.
J Hand Surg Asian Pac Vol. 2020 Mar;25(1):67-75. doi: 10.1142/S2424835520500095.
5
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J Hand Surg Am. 2019 Jun;44(6):524.e1-524.e6. doi: 10.1016/j.jhsa.2018.11.018. Epub 2019 Jan 23.
6
Stability of acute dorsal fracture dislocations of the proximal interphalangeal joint: a biomechanical study.近端指间关节急性背侧骨折脱位的稳定性：一项生物力学研究。
J Hand Surg Am. 2014 Jan;39(1):13-8. doi: 10.1016/j.jhsa.2013.09.025. Epub 2013 Nov 6.
7
Fractures of the proximal phalanx and metacarpals in the hand: preferred methods of stabilization.手部近端指骨和掌骨骨折：稳定固定的首选方法。
J Am Acad Orthop Surg. 2008 Oct;16(10):586-95. doi: 10.5435/00124635-200810000-00004.
8
Bridge plating of distal radius fractures: the Harborview method.桡骨远端骨折的桥接钢板固定术：哈博维尤方法
Clin Orthop Relat Res. 2006 Apr;445:91-9. doi: 10.1097/01.blo.0000205885.58458.f9.
9
The frequency and epidemiology of hand and forearm fractures in the United States.美国手部和前臂骨折的发生率及流行病学情况。
J Hand Surg Am. 2001 Sep;26(5):908-15. doi: 10.1053/jhsu.2001.26322.