Department of Orthopaedic Surgery, Hand, Upper Extremity and Microsurgery, Duke University Medical Center, Durham, NC 27710, USA.
Department of Orthopaedic Surgery, Hand, Upper Extremity and Microsurgery, Duke University Medical Center, Durham, NC 27710, USA.
Hand Clin. 2024 Feb;40(1):141-149. doi: 10.1016/j.hcl.2023.08.005. Epub 2023 Sep 14.
Metacarpal and phalanx fractures are common injuries that can often be managed nonoperatively with satisfactory clinical outcomes. However, loss of normal finger alignment including malrotation and severe angulation as well as intra-articular deformities can lead to functional deficits which may benefit from operative intervention. There are numerous surgical options to correct malunions and the correct choice varies based on the injury pattern, concurrent injuries/complications, and surgeon's preference. While these surgeries can be technically demanding, successful treatment can lead to good results with satisfactory deformity correction and patient function.
掌骨和指骨骨折是常见的损伤，通常可以通过非手术治疗获得满意的临床效果。然而，正常手指对线的丧失，包括旋转不良和严重成角以及关节内畸形，可导致功能缺陷，可能需要手术干预。有许多手术方法可以纠正畸形愈合，正确的选择取决于损伤类型、合并损伤/并发症以及外科医生的偏好。虽然这些手术具有一定的技术难度，但成功的治疗可以获得良好的结果，满意地纠正畸形并改善患者的功能。
