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微型外固定器治疗Bennett骨折 被引量:4

Treatment of Bennett's fracture with mini external fixator
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摘要 目的探讨应用外固定器治疗Bennett骨折的临床效果。方法从2001年2月~2006年2月,采用微型外固定架牵引固定治疗Bennett骨折43例,其中新鲜骨折38例,陈旧骨折5例。结果术后随访6~22月,骨折临床愈合时间5~9周,平均7周,无骨折再移位、畸形愈合等并发症发生,关节功能恢复良好。按照TAM系统评定,优良率达97.7%。结论外固定器治疗Bennett骨折,方法简单、损伤小、复位固定可靠,可有效降低术后关节疼痛、关节活动受限和创伤性关节炎的发生率,是治疗Bennett骨折的有效方法。 Objective To investigate the method and results of the Bennett fractures fixed by mini external fixa-tor.Methods From February 2001 to February 2005,43 cases of the Bennett fracture were treated with external mini external fixator,including 38 cases of fresh fracture and 5 cases of old fracture.Results All patients were followed up for 6 ~ 22 months.All fractures healed successfully,and the average union time was 7 weeks with a range of 5 to 9 weeks.According to the standard,the overall good-excellent rate of joint function was 97.7%.Conclusion Treatment of the Bennett fracture with mini external fixator is an effective method.It is simple and reliable,and may decrease joint pain,limitation of joint movement and proportion of traumatic arthritis.
出处 《生物骨科材料与临床研究》 CAS 2006年第6期18-20,共3页 Orthopaedic Biomechanics Materials and Clinical Study
关键词 第一掌骨 骨折 外固定架 First metacarpal bone Fracture External fixator
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参考文献10

  • 1[1]Kjaer-Petersen K,Langhoff O,Andersen K.Bennett' fracture.J Hnad Surg (Br),1990,15:58-61.
  • 2[2]Slgeback S,Eiken O,Carstam N.A study of Bennett fracture.Spicial reference to fixation by percutaneous pinning.Scand J Plast Reconstr Hand Surg,1971,5:142-148.
  • 3[3]Cannon SR,Dowd GS,Williams DH,et al.Alnng-term study follow in Bennett's fracture.J Hand Surg (Br),1986,11:426-431.
  • 4[4]Eaton RG,Littler JW.Ligament reconstruction for the painful thumb carpometacarpal joint.J Bone Joint Surg (Am),1973,55:1655-1666.
  • 5[5]Sawaizumi T,Nanno M,Nanbu A,et al.Percutaneous leverage pinning in the treatment of Bennett's fracture.J Orthop Sci.2005,10:27-31.
  • 6[6]Kannan RY,Chester DL,Titley OG.Combined Bennett's Fracture Subluxation and Scapho-Trapezio-Trapezoidal Dislocation Secondary to Lightning Strike.J Trauma.2004,57:1351-1353.
  • 7李文,宋知非,陈东阳.微型钢板内固定治疗掌指骨骨折[J].临床骨科杂志,2004,7(1):86-87. 被引量:20
  • 8[8]Lutz M,Sailer R,Zimmermann R,et al.Closed reduction transarticular Kirschner wire fixation versus open reduction intemal fixation in the treatment of Bennett's fracture dislocation.J Hand Surg (Br).2003,28:142-7.
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二级参考文献24

  • 1陈山林,田光磊,田文,郜永斌,朱瑾,易传军,郭阳.微型外固定系统在手部骨折中的应用[J].中华骨科杂志,2004,24(8):469-473. 被引量:44
  • 2史亚民,王予彬,候树勋,王鸿雁,张伟佳,姚长海.微型外固定器治疗第一掌骨基底部骨折[J].中华手外科杂志,1995,11(3):183-185. 被引量:16
  • 3[2]Firoozbakhsh KK, Moneim MS,Howey T et a.Comparative fatigue strengths and stabilities of metacarpal internal fixation techniques[J]. J Hand Surg[Am], 1993;18(6):1059~1068
  • 4[3]Ouellette EA,Freeland AE.Use of the minicondylar plate metacarpal and phalangeal fractures[J]. Clin Orthop, 1996; (327):38~46
  • 5Kjaer-Petersen K,Langhoff O,Andersen K.Bennett's fracture.J Hand Surg(Br),1990,15:58-61.
  • 6Salgeback S,Eiken O,Carstam N.A study of Bennett's fracture.Special reference to fixation by percutaneous pinning.Scand J Plast Reconstr Hand Surg,1971,5:142-148.
  • 7Cannon SR,Dowd GS,Williams DH,et al.A long-term study followin Bennett's fracture.J Hand Surg(Br),1986,11:426-431.
  • 8Eaton RG,Littler JW.Ligament reconstruction for the painful thumb carpometacarpal joint.J Bone Joint Surg(Am),1973,55:1655-1666.
  • 9Livesley PJ.The conservative management of Bennett's fracture dislocation:a 26-year follow-up.J Hand Surg(Br),1990,15:291-294.
  • 10Oosterbos C J,de Boer HH.Nonoperative treatment of Bennett's fracture.J Orthop Trauma,1995,9:23-27.

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