Gill D R, Smith K L, Harvey F J
Department of Orthopaedic Surgery, Middlemore Hospital, Auckland, New Zealand.
Aust N Z J Surg. 1994 Aug;64(8):547-50. doi: 10.1111/j.1445-2197.1994.tb02283.x.
The effectiveness of a volar or a dorsal plaster of Paris slab for splinting a hand in the 'safe' position was studied prospectively. Seventy-two splints, comprising 36 dorsal and 36 volar, were applied. Measurements of the metarcarpophalangeal joint angle and the proximal interphalangeal joint angle on the lateral radiograph revealed the volar splint to be significantly more consistent in securing the proximal interphalangeal joint angle at less than 15 degrees. There was no significant difference between volar or dorsal splints for the metarcarpophalangeal joint angle. As the volar splint was also subjectively more comfortable, its use is recommended.
前瞻性地研究了掌侧或背侧巴黎石膏板在将手固定于“安全”位置时的有效性。共应用了72个夹板，其中36个为背侧夹板，36个为掌侧夹板。对侧位X线片上的掌指关节角度和近端指间关节角度进行测量，结果显示掌侧夹板在将近端指间关节角度固定在小于15度时明显更稳定。掌侧或背侧夹板在掌指关节角度方面无显著差异。由于掌侧夹板在主观上也更舒适，因此推荐使用。
