Stern P J, Gates N T, Jones T B
University of Cincinnati College of Medicine, Ohio.
J Hand Surg Am. 1993 Mar;18(2):194-7. doi: 10.1016/0363-5023(93)90344-3.
Two-hundred three patients underwent 290 tension band arthrodeses of the metacarpophalangeal and proximal interphalangeal joints of the hand. Nine patients (3%) failed to achieve bony union, four had painless pseudarthroses, and one patient had a small finger amputation. Twenty-five fusions (9%) required hardware removal. There were 10 superficial infections (all responded to oral antibiotic therapy), and three fusions were malrotated. Tension band arthrodesis is our choice for fusion of the metacarpophalangeal and proximal interphalangeal joints. It is reliable and provides stable fixation, pins do not protrude, and external splinting is unnecessary in the cooperative patient.
203例患者接受了手部掌指关节和近端指间关节的290次张力带关节融合术。9例患者（3%）未实现骨愈合，4例有无痛性假关节，1例患者小指截肢。25例融合术（9%）需要取出内固定物。有10例表浅感染（均对口服抗生素治疗有反应），3例融合术出现旋转不良。张力带关节融合术是我们用于掌指关节和近端指间关节融合的选择。它可靠且提供稳定的固定，钢针不突出，对于配合的患者无需外部夹板固定。
