Thomann Y R, Eisner L, Linder S M, Troeger H
Orthodädische Abteilung, Kantonsspital Liestal.
Swiss Surg. 1996(2):57-61.
Between January 1st 1992 and December 31st 1993 140 non-complex (i.e. nerve, vascular, tendon injuries) fractures of the peripheral hand skeleton were operated at the Policlinic of the Kantonsspital Basel. In a retrospective study we analyzed results, complications and absence from work. We treated 110 male and 30 female patients with a mean age of 47 years. 45 fractures were treated by plate fixation, 45 by screw fixation, 53 times we applied k-wires and once a mini-fix-ex (AO-Prototype). Plate and screw fixation were performed with AO-mini-implants. 90% of our patients had an uneventful postoperative course. In spite of functional after-treatment we noted in 8.6% of the patients a relevant loss of movement leading to operative tenolysis in 7 patients. Fractures at the level of PIP were most frequently associated with loss of movement. Absence from work was 59 days in average (1-206)!
Peripheral osteosynthesis of the hand (non-complex) are effectively treated on an out-patient basis. In spite of functional after-treatment about 10% of patients have a relevant postoperative reduction in motility. Absence from work is relatively long after operative treatment of peripheral hand fractures.
1992年1月1日至1993年12月31日期间，巴塞尔州立医院门诊对140例手部外周骨骼非复杂性骨折（即神经、血管、肌腱损伤）进行了手术治疗。在一项回顾性研究中，我们分析了治疗结果、并发症及缺勤情况。我们共治疗了110例男性和30例女性患者，平均年龄47岁。45例骨折采用钢板固定，45例采用螺钉固定，53例使用克氏针，1例使用微型固定器（AO原型）。钢板和螺钉固定均采用AO微型植入物。90%的患者术后恢复顺利。尽管进行了功能康复治疗，但我们仍发现8.6%的患者出现了明显的活动度丧失，其中7例患者接受了手术松解。掌指关节（PIP）水平的骨折最常伴有活动度丧失。平均缺勤天数为59天（1 - 206天）！
手部外周骨骼（非复杂性）骨折可在门诊进行有效治疗。尽管进行了功能康复治疗，仍有大约10%的患者术后活动度出现明显下降。手部外周骨折手术后的缺勤时间相对较长。
