双针并行内固定在断指再植中的应用(附14例报告)

Application of two parallel Kirschner wires in internal fixation for digital replantation:expe-rience with 14 cases

目的 探讨断指再植中骨折的内固定方法。方法 对2000年10月～2003年3月收治的14例患者17断指采用双针并行髓内贯穿固定骨折，并与同期其他内固定方法进行对比。结果 所有断指均再植成活，随访的10例患者中无1例发生骨不连或骨延迟愈合。平均骨愈合时间5周，关节功能恢复满意。结论 双针并行内固定方法固定更加牢固，更有利于骨折愈合，是一种较为理想的内固定方法。

Objective To improve the method for internal fixation in digital replantation . Method In 14 cases of finger frac-tures (17 fingers) admitted in our hospital between October, 2000 and March, 2003, intramedullary fixation was performed wi th two-parallel Kirschner wires, and the effects were compared with those of oth er internal fixations in cases treated within the same period. Result All the d igital fractures healed and none of the 10 patients followed up suffered nonunio n or delayed healing. The average healing time of the fractures was 5 weeks, an d the joint function recovered satisfactorily. Conclusion In-ternal fixation wit h two parallel Kirschner wires can achieve more reliable fixation to promote the healing of the bone frac-tures.