[1]尚 驰,史少岩,魏登科,等.闭合钳夹复位内固定治疗新鲜骨性锤状指疗效观察[J].陕西医学杂志,2021,50(12):1546-1549.[doi:DOI:10.3969/j.issn.1000-7377.2021.12.020]
　SHANG Chi,SHI Shaoyan,WEI Dengke,et al.Curative effect of closed clamp reduction and internal fixation in treatment of fresh bony mallet finger[J].,2021,50(12):1546-1549.[doi:DOI:10.3969/j.issn.1000-7377.2021.12.020]
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闭合钳夹复位内固定治疗新鲜骨性锤状指疗效观察
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年12期
页码:
1546-1549
栏目:
临床研究
出版日期:
2021-12-05

文章信息/Info

Title:
Curative effect of closed clamp reduction and internal fixation in treatment of fresh bony mallet finger
作者:
尚 驰; 史少岩; 魏登科; 张丽君; 周运平; 李 刚
(西安交通大学附属红会医院手外中心,陕西 西安 710054)
Author(s):
SHANG Chi; SHI Shaoyan; WEI Dengke; ZHANG Lijun; ZHOU Yunping; LI Gang
(Department of Hand Surgery,Xi'an Honghui Hospital Affiliated to Xi'an Jiaotong University,Xi'an 710054,China)
关键词:
骨性锤状指;  闭合钳夹复位;  内固定;  疗效;  对比研究
Keywords:
Bony mallet finger;  Closed clamp reduction;  Internal fixation;  Curative effect;  Comparative study
分类号:
R 683
DOI:
DOI:10.3969/j.issn.1000-7377.2021.12.020
文献标志码:
A
摘要:
目的:观察闭合钳夹复位内固定治疗新鲜骨性锤状指的疗效。方法:收集新鲜骨性锤状指患者76例,根据手术方式不同分为两组。A组39例,采用闭合钳夹复位内固定治疗。B组37例,采用切开复位内固定治疗。术后约8周拔除骨针。结果:两组患者疗效等级分布比较差异有统计学意义,A组优良率高于B组(均P<0.05)。两组患者满意度及疼痛视觉模拟量表(VAS)评分比较差异无统计学意义(均P>0.05)。两组主动欠伸角度、屈曲角度和活动度比较,差异无统计学意义(均P>0.05)。两组术后并发症总发生率比较,差异无统计学意义(P>0.05)。结论:闭合钳夹复位钴铬钼合金骨针内固定治疗新鲜骨性锤状指疗效确切,有效恢复了伤指的功能及外观。
Abstract:
Objective:To observe the curative effect of closed clamp reduction and internal fixation in the treatment of fresh bony mallet finger.Methods:A total of 76 patients with fresh bony mallet fingers were collected and divided into two groups according to different surgical methods.39 cases in group A were treated with closed clamp reduction and internal fixation.37 cases in group B were treated with open reduction and internal fixation.The bone spicules were removed about 8 weeks after the operation.Results:There was a statistically significant difference in the curative effect grade distribution between the two groups,and the excellent and good rate of group A was higher than that of group B(all P<0.05).There was no significant difference in the scores of satisfaction and pain VAS between the two groups(all P>0.05).There was no statistically significant difference in active underextension angle,flexion angle and range of motion between the two groups(all P>0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).Conclusion:Closed clamp reduction and internal fixation has a definite effect in the treatment of fresh bony mallet fingers,effectively restoring the function and appearance of the injured finger.

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备注/Memo

备注/Memo:
基金项目:陕西省重点研发计划项目(2021SF-241,2018YBXM-SF-12-1)
更新日期/Last Update: 2021-12-07