指骨骨折的弹力牵引治疗

Treatment of Phalangeal Fracture with Elastic Traction

【目的】讨论弹力牵引在指骨骨折治疗中的适应症和经验。【方法】采用自行改进牵引方式的弹力牵引治疗48例 (69指)指骨骨折,观察其适应症、愈合时间、疗效、功能恢复等。【结果】48例(69指)指骨骨折(开放性、闭合性)全部愈合;粉碎性骨折,尤其是关节内粉碎性骨折疗效甚佳,愈合时间为3周,无关节僵硬。【结论】弹力牵引治疗指骨骨折适应症广,可应用于除断指再植术以外的各种指骨骨折,手术操作简便,创伤小,愈合时间短,功能恢复好,费用低,有其独特的优越性。

【Objective】To explore the indications of elastic traction in treating phalangeal fraction (PF) and to evaluate its therapeutic effects.【Methods】Self-modified elastic traction was used to treat 48 cases (69 fingers) of PF. The indications, healing time, therapeutic effect and recovery of function were observed after treatment of elastic traction. [Results] All the cases with open or closed PF were cured. The healing time was 3 weeks for the comminuted fracture (including intra-articular comminuted fracture). Stiff joint was not found.【Conclusion】Elastic traction can be used for the treatment of PF except replantation of severed finger; this method has the advantages of simple operation, less operative injury, short healing time, optimal recovery of function and less cost.