关节松解术联合弹性牵引治疗外伤性近指间关节僵硬

Arthrolysis combined with elastic traction for treatment of post-traumatic proximal interphalangeal joint stiffness

目的探讨外伤性近指间关节僵硬的治疗方法。方法2008年2月至2011年9月，对11例外伤性近指间关节僵硬的患者，先行关节松解术，术后结合弹性牵引支具进行有规律的训练活动。结果2例失访，9例随访时间为3个月至3年，按照手指关节总活动度（TAM）系统评定：优5例，良3例，可1例，优良率为88．9％。结论关节松解术联合弹性牵引是治疗外伤性近指间关节僵硬的有效方法。

Objective To discuss the treatment options for post-traumatic proximal interphalangeal （PIP） joint stiffness. Methods Between February 2008 and September 2011, 11 patients with PIP joint stiffness after trauma were treated with arthrolysis. Postoperative regular exercise under elastic traction was applied. Results Two patients were lost to follow-up, while 9 patients were follow-up for 3 to 36months postoperatively. Based on the total acdve motion （TAM） rating system of the Chinese Medical Association for Surgery of the Hand, the results were excellent in 5 cases, good in 3 cases, and fair in 1 case. The overall excellent and good rate was 88.9%. Conclusion Arthrolysis combined with elastic traction is an effective method to treat post-traumatic PIP joint stiffness.