Das Gupta K, Hornung R W, Back C, Germann G
Abteilung für Verbrennungen, Plastische und Handchirurgie, Berufsgenossen schaftlichen Unfallklinik Ludwigshafen.
Handchir Mikrochir Plast Chir. 1996 Sep;28(5):249-53.
Lesions of the palmar plate of PIP-joints were treated surgically during the past ten years in cases of dislocation of the PIP-joint, lesions to the collateral ligaments, or lesions to the extensor apparatus (according to types 3, 4 and 5 of Hintringer's classification). A followup of 97 patients showed nearly 90% good results in cases of ligamentous injuries, comparable to results after conservative treatment in other centres. In cases of fracture dislocation and open injuries, results were only fair. Conservative treatment is now preferred in most cases.
在过去十年中,对于掌指关节(PIP)脱位、侧副韧带损伤或伸肌装置损伤(根据欣特里格分类法的3、4和5型)的病例,均采用手术治疗掌指关节掌板损伤。对97例患者的随访显示,韧带损伤病例中近90%效果良好,与其他中心保守治疗的结果相当。在骨折脱位和开放性损伤的病例中,结果仅为一般。目前大多数情况下首选保守治疗。