Leibovic S J
Department of Orthopedic Surgery, Medical College of Virginia, Richmond, USA.
Hand Clin. 1997 Nov;13(4):601-13.
Interphalangeal arthrodeses are performed frequently for disabling pain and deformity in the proximal and distal interphalangeal joints. Such arthrodeses are the gold standard for eliminating pain in arthritic joints of the fingers. Kirschner wire fixation is simple to perform but often leads to nonunion or delayed union. Fixation with tension band wires and Herbert and Accutrak screws is discussed in this article. The techniques are simple and straightforward, and they afford considerably more stability and a higher union rate than Kirschner wires alone.
指间关节融合术常用于治疗近端和远端指间关节的致残性疼痛和畸形。此类关节融合术是消除手指关节炎关节疼痛的金标准。克氏针固定操作简单，但常导致骨不连或延迟愈合。本文讨论了张力带钢丝以及Herbert和Accutrak螺钉固定。这些技术简单明了，与单独使用克氏针相比，它们提供了更高的稳定性和更高的愈合率。
