自制牵引架在治疗手指骨骨折中的临床应用

Clincal Apllication of Phalangeal Fractures of the Hand Treated by Self-made Traction Frame

目的评价自制牵引架在手部指骨骨折中的治疗效果。方法对11例(共19指)手部指骨新鲜闭合性骨折,采取闭合整复自制牵引架治疗21～28 d(平均24 d),术后平均随访2～6个月,从患手的关节活动范围和影像学检查进行疗效评价。结果术后X线片显示所有骨折均解剖复位,平均24 d去除自制牵引架。1例患者1个手指出现针道感染。11例(19指)骨折患者均已骨性愈合,患者手指的关节活动范围恢复正常,均已恢复原来的工作。结论自制牵引架技术是治疗新鲜闭合性指骨不稳定骨折的有效方法。

Objective To evaluate the effect of self-made traction frame for the phalangeal fractures of the fingers. Methods Eleven patients （19 fingers ）with fresh closed instable phalangeal fractures were treated by closed reduction and self-made traction frame for 24 days （rang 21-28 days）, the follow-up was for 2-6 months post-operatively, phalangeal joints rang of movement and radiological result were assessed. Results Satisfactory radiological reduction was obtained post-operatively. The traction frame was removed in 24 days, pin hole infection of one phalanx occurred, full range of movement was obtained in 11 cases（19 fingers） ,all fractures healed by the last radiological confirmation,all patients return to their original position. Conclusion The technique of using self-made traction is an effective method to treat the fresh closed instable phalangeal fracture.