骨软骨移植治疗儿童远侧指间关节陈旧性骨折脱位

A clinical study on bone-cartilage graft in treatment of old distal interphalangeal joint fracture-dislocation in children

目的探讨儿童远侧指间关节陈旧性骨折脱位的治疗方法及疗效观察。方法采用游离骨软骨移植术治疗小儿伴有骨软骨缺损的远侧指间关节陈旧性骨折脱位9例9指。结果全部患者均获18个月～13年7个月的随访,优2例,良4例,可3例。结论骨软骨移植术既能有效的矫正畸形,又可保留一定的关节活动度,不失为一种较好的治疗方法。

Objective To evaluate the outcome of a new treatment for old distal interphalangeal joint fracture dislocation in children. Methods We treated 9 child cases of old distal interphalangeal joint fracture dislocation combined with bone and cartilage deficits by free bone cartilage graft. Results Regular follow ups of 18 to 163 months were done for all the 9 cases. We obtained excellent results in 2 cases, good in 4 cases and fair in 3 cases. Conclusion Since bone cartilage graft can correct the deformity efficiently and restore the range of motion of the interphalangeal joint to some extent, it is a good option to treat old distal interphalangeal joint fracture dislocation in children.