Timmenga E J, Blokhuis T J, Maas M, Raaijmakers E L
Department of Surgery, University of Amsterdam, Academic Medical Centre, The Netherlands.
J Hand Surg Br. 1994 Jun;19(3):373-7. doi: 10.1016/0266-7681(94)90093-0.
18 patients with Bennett's fracture were evaluated after a mean follow-up period of 10.7 years. Treatment consisted of closed reduction and K-wire fixation in seven cases and open reduction with osteosynthesis in 11 cases. Overall, symptoms were few and restricted mobility of the thumb could not be demonstrated. The strength of the affected hand was decreased in all patients regardless of the type of treatment. Osteoarthritis was found to correlate with the quality of reduction of the fracture, but had developed in almost all cases even after exact reduction. Exact reduction, either by the open or closed method, should be the aim of treatment of Bennett's fracture.
对18例班尼特骨折患者进行了平均10.7年的随访评估。7例采用闭合复位和克氏针固定治疗，11例采用切开复位内固定治疗。总体而言，症状较少，未发现拇指活动受限。无论采用何种治疗方式，所有患者患侧手的力量均有所下降。发现骨关节炎与骨折复位质量相关，但即使在精确复位后，几乎所有病例仍会发生骨关节炎。采用切开或闭合方法进行精确复位应是班尼特骨折治疗的目标。
