Förstner H
Chirurgischen Abteilung, Kreiskrankenhauses Schramberg.
Handchir Mikrochir Plast Chir. 1994 Jan;26(1):29-34.
Dislocation and instability of distal metacarpal fractures necessitate open reduction and stable fixation. Several methods of internal fixation have been described, but all of them are technically difficult. Intramedullary pinning from proximal to distal, first described by Foucher in 1976, is a dynamically stable operation method and easy to perform. New instruments and the newly developed pin have been constructed and adapted to the operation method. All is kept as technically straightforward as possible. Demonstration of the handling and clinical cases are described, and advantages of the procedure emphasized.
掌骨远端骨折的脱位和不稳定需要切开复位及稳定固定。已经描述了几种内固定方法，但所有这些方法在技术上都很困难。1976年由福彻首次描述的从近端到远端的髓内穿针固定术，是一种动态稳定的手术方法且易于实施。已经制造了新的器械和新开发的钢针，并使其适应该手术方法。尽可能保持所有操作在技术上简单直接。描述了操作过程及临床病例，并强调了该手术方法的优点。
