贝内特骨折的螺钉与悬吊固定术

Graham David J, Watson Anna, Taylor Fraser, Sivakumar Brahman

Australian Research Collaboration on Hands, Mudgeeraba, Queensland, Australia.

Department of Musculoskeletal Services, Gold Coast University Hospital, Southport Queensland, Australia.

J Hand Surg Glob Online. 2022 Dec 7;5(2):206-210. doi: 10.1016/j.jhsg.2022.10.007. eCollection 2023 Mar.

Bennett fractures are inherently unstable partial articular fractures of the base of the first metacarpal, often resulting from an axial load applied to a partially flexed metacarpal. Multiple options are available for the surgical stabilization of Bennett fractures; each option has associated drawbacks. We present a technique of fixation with headless compression screw(s), combined with suspension fixation, to overcome some of these limitations, with good results.

贝内特骨折本质上是第一掌骨基部的不稳定部分关节骨折，通常由施加于部分屈曲掌骨的轴向负荷所致。贝内特骨折的手术稳定有多种选择；每种选择都有相关缺点。我们提出一种使用无头加压螺钉固定并结合悬吊固定的技术，以克服其中一些局限性，效果良好。