Bishop A T
Department of Orthopedics, Mayo Medical School, Rochester, Minnesota.
Hand Clin. 1993 Nov;9(4):683-9.
Arthrodesis of the joints of the digital skeleton may be readily accomplished by using small external fixators. Although it is effective for almost any indication, it is perhaps best used for open injury, infection, and other difficult circumstances when different methods of compression arthrodesis are inadvisable. Fusion rates are very high, with successful first-attempt external fixation arthrodesis occurring in at least 96% of cases as reported in prior publications. Length of immobilization varied from 6 to 8 weeks with an acrylic and K-wire compression device to 8 to 10 weeks with a Manuflex device. Other reports demonstrate similar results.
使用小型外固定器可轻松实现指骨骨骼关节的关节融合术。尽管它对几乎任何适应症都有效，但可能最适用于开放性损伤、感染以及其他不适宜采用不同加压关节融合术方法的困难情况。融合率非常高，如先前出版物所报道，首次尝试外固定关节融合术至少96%的病例成功。使用丙烯酸和克氏针加压装置固定时间为6至8周，使用Manuflex装置则为8至10周。其他报告也显示了类似结果。
