Shibata T, O'Flanagan S J, Ip F K, Chow S P
Department of Orthopaedic Surgery, Queen Mary Hospital, University of Hong Kong.
J Hand Surg Br. 1993 Apr;18(2):225-9. doi: 10.1016/0266-7681(93)90115-v.
We report a prospective study of 92 articular fractures of the digits. The treatment protocol was based on functional stability and acceptable alignment rather than on joint congruity. 54% of patients had good results, with 22% fair and 24% poor results being recorded. These results are similar to reports of treatment of finger fractures in general and suggest that for articular fractures of the digits, stability and alignment are more important factors than joint congruity in determining short-term outcome. Compound fractures and those associated with comminution, significant soft tissue damage and marked displacement at presentation have a worse prognosis.
我们报告了一项针对92例手指关节骨折的前瞻性研究。治疗方案基于功能稳定性和可接受的对线，而非关节面的一致性。54%的患者取得了良好的效果，22%效果尚可，24%效果较差。这些结果与一般手指骨折的治疗报告相似，表明对于手指关节骨折，在决定短期预后方面，稳定性和对线比关节面的一致性更为重要。开放性骨折以及那些伴有粉碎、严重软组织损伤和就诊时明显移位的骨折预后较差。
