Lenoble E, Goutallier D
Département d'Orthopédie et de Traumatologie, Hôpital HENRI Mondor, Creteil.
Ann Chir Main Memb Super. 1993;12(3):189-95. doi: 10.1016/s0753-9053(05)80099-7.
We conducted a retrospective study of 80 patients who underwent axial K-wire osteosynthesis for a fracture of the distal third of the fifth metacarpal over an eight year period. We used a technique derived from Foucher's technique. After closed reduction, the fracture was maintained with two or three distal smoothed curved intra-medullary axial K-wires. The final functional result was identical to the opposite side in every case, although with persistent palmar tilt of 14 degrees +/- 11 degrees. The complications were rare. Rotation displacement was always well controlled. In comparison with functional treatment, we recommend this technique in cases of rotation displacement, absence of contact between the fractured ends and marked palmar tilt of the distal fragment.
我们对80例在八年期间因第五掌骨远端三分之一骨折接受轴向克氏针内固定的患者进行了回顾性研究。我们采用了源自福谢技术的一种方法。闭合复位后，用两根或三根远端平滑弯曲的髓内轴向克氏针固定骨折。尽管最终仍存在14度±11度的掌侧倾斜，但每例患者的最终功能结果与对侧相同。并发症很少见。旋转移位始终得到很好的控制。与功能治疗相比，对于存在旋转移位、骨折端无接触以及远端骨折块明显掌侧倾斜的病例，我们推荐这种技术。
