We present the technical report for treat- ment of comminuted fracture of the capitate with ligamentotaxis. The base of third metacarpal was found to be fractured with comminution of the capitate. The decrease in carp...We present the technical report for treat- ment of comminuted fracture of the capitate with ligamentotaxis. The base of third metacarpal was found to be fractured with comminution of the capitate. The decrease in carpal height index and comminution of the third metacar- pal base lead to dilemma between conservative treatment and surgical management of this particular injury. The sur- gical management was chosen to maintain the carpal height index of the wrist to prevent the late degenerative changes.The patient was applied with external fixator in distraction mode expanning the wrist joint for six weeks, and the wrist was mobilised after removal of the fixator. It is shown that the external fixator in distraction mode expanning the wrist joint is a good alternative method for treatment of capitate fracture.展开更多
目的：探讨锁定钢板（LISS）内固定治疗股骨髁上髁间骨折患者的临床效果。方法将94例股骨髁上髁间骨折患者按照数字表法随机分为两组，对照组47例给予动力髁螺钉板（Dynamie hip serew，DHS）内固定治疗；观察组47例给予LISS内固定治疗...目的：探讨锁定钢板（LISS）内固定治疗股骨髁上髁间骨折患者的临床效果。方法将94例股骨髁上髁间骨折患者按照数字表法随机分为两组，对照组47例给予动力髁螺钉板（Dynamie hip serew，DHS）内固定治疗；观察组47例给予LISS内固定治疗，比较两组患者的临床疗效情况。结果随访6～12个月，平均（9.5±2.8）个月。两组患者治疗后均没有出现神经损伤、血管损伤（、膝关节内（外）翻崎形、内固定物松动（断裂）等并发症。观察组总有良率为95.74%，显著高于对照组的78.72%（X2=6.1138，P<0.05）。结论锁定钢板（LISS）内固定治疗股骨髁上髁间骨折疗效肯定，术中血运破坏少，创伤小、对骨折“内环境”干扰小，并发症少，骨折愈合较为满意，早期功能训练是膝关节功能恢复的重要保证，LISS是治疗股骨髁上髁间骨折较为理想的方法。展开更多
文摘We present the technical report for treat- ment of comminuted fracture of the capitate with ligamentotaxis. The base of third metacarpal was found to be fractured with comminution of the capitate. The decrease in carpal height index and comminution of the third metacar- pal base lead to dilemma between conservative treatment and surgical management of this particular injury. The sur- gical management was chosen to maintain the carpal height index of the wrist to prevent the late degenerative changes.The patient was applied with external fixator in distraction mode expanning the wrist joint for six weeks, and the wrist was mobilised after removal of the fixator. It is shown that the external fixator in distraction mode expanning the wrist joint is a good alternative method for treatment of capitate fracture.
文摘目的：探讨锁定钢板（LISS）内固定治疗股骨髁上髁间骨折患者的临床效果。方法将94例股骨髁上髁间骨折患者按照数字表法随机分为两组，对照组47例给予动力髁螺钉板（Dynamie hip serew，DHS）内固定治疗；观察组47例给予LISS内固定治疗，比较两组患者的临床疗效情况。结果随访6～12个月，平均（9.5±2.8）个月。两组患者治疗后均没有出现神经损伤、血管损伤（、膝关节内（外）翻崎形、内固定物松动（断裂）等并发症。观察组总有良率为95.74%，显著高于对照组的78.72%（X2=6.1138，P<0.05）。结论锁定钢板（LISS）内固定治疗股骨髁上髁间骨折疗效肯定，术中血运破坏少，创伤小、对骨折“内环境”干扰小，并发症少，骨折愈合较为满意，早期功能训练是膝关节功能恢复的重要保证，LISS是治疗股骨髁上髁间骨折较为理想的方法。
