Murray K A, McIntyre F H
Department of Surgery, University of Manitoba, Winnipeg, Canada.
Ann Plast Surg. 1995 Jul;35(1):15-8. doi: 10.1097/00000637-199507000-00003.
Proximal interphalangeal joint injuries can severely affect hand function. Early, active motion is important in ensuring a good range of motion and a functional outcome. Active traction splinting is a dynamic splinting system that can be performed with either open or closed reduction of phalangeal joint fractures, especially at the proximal interphalangeal level. This system allows for continued traction on the involved joint and thereby aids in providing a dynamic force that will unload the joint throughout its arc of motion and noticeably decrease pain. Early, active therapy and the continual in-line traction enables the patient to achieve an almost full range of motion early in the course of rehabilitation. This combination contributes significantly to improve patient understanding and compliance. The benefits of the active traction system are reduction of fragments, marked decrease in pain, and early range of motion with improved patient compliance. Early, active motion facilitates improved joint nutrition, contouring, and healing. Active traction splinting for proximal interphalangeal joint injuries is a relatively simple and effective method for treating these complex injuries.
近端指间关节损伤会严重影响手部功能。早期进行主动活动对于确保良好的活动范围和功能恢复很重要。主动牵引夹板是一种动态夹板系统，可用于指骨骨折的闭合或开放复位，尤其是在近端指间关节水平。该系统允许对受累关节持续牵引，从而有助于提供一种动态力，在整个运动弧中减轻关节负荷并显著减轻疼痛。早期主动治疗和持续的轴向牵引使患者能够在康复过程早期实现几乎全范围的活动。这种结合显著有助于提高患者的理解和依从性。主动牵引系统的益处包括骨折碎片复位、疼痛显著减轻以及早期活动范围增加和患者依从性提高。早期主动活动有助于改善关节营养、塑形和愈合。用于近端指间关节损伤的主动牵引夹板是治疗这些复杂损伤的一种相对简单有效的方法。
