Breibart A S, Glat P M, Staffenberg D A, Casar R S, Rubinstein J, Grossman J A, Beasley R W
Institute of Reconstructive Plastic Surgery, NYU Medical Center, NY, USA.
Ann Plast Surg. 1997 Jul;39(1):47-52. doi: 10.1097/00000637-199707000-00008.
Arthrodesis of the interphalangeal and metacarpophalangeal joints is a technically demanding procedure with significant failure rates. A method of compression arthrodesis that was developed by one of the authors (RWB) using a compression clamp and crossed Kirschner wires is reported. This technique has been used without complication in the successful arthrodesis of 125 consecutive interphalangeal and metacarpophalangeal fusions by two of the authors (RWB and JAIG). An in vivo model of small-joint arthrodesis was then developed using the rabbit humeroulnar joint to compare this method of compression clamp arthrodesis with the tension band technique. Biomechanical testing at both 2 and 8 weeks postoperatively showed compression clamp arthrodesis to compare favorably with the tension band technique.
指间关节和掌指关节融合术是一项技术要求高且失败率显著的手术。本文报道了由作者之一（RWB）研发的一种使用加压夹和交叉克氏针的加压融合方法。该技术已被两位作者（RWB和JAIG）连续成功用于125例指间关节和掌指关节融合，且无并发症。随后利用兔肱尺关节建立了小关节融合的体内模型，以比较这种加压夹融合方法与张力带技术。术后2周和8周的生物力学测试表明，加压夹融合术与张力带技术相比具有优势。
