【作者】 郑军；

【导师】 王利民；

【作者基本信息】 郑州大学 ， 外科学， 2009， 硕士

【摘要】 目的分析应用微型骨锚治疗锤状指的临床疗效。方法自2005年6月至2008年12月共对152例锤状指患者采用微型骨锚钉加克氏针固定手术治疗,本组152例患者中男性130例,女性22例,年龄15岁—59岁,平均32.2岁；新鲜损伤137例,陈旧性损伤15例；食指15例,中指39例,环指65例,小指33例,我们按照肌腱损伤的部位、特点以及是否合并撕脱骨折块分为三型：Ⅰ型为肌腱腱性部分完全离断,Ⅱ型为肌腱于附着点处完全撕脱,Ⅲ型为肌腱合并微小撕脱骨折块,其中本组病例Ⅰ型为12例,Ⅱ型为113例,Ⅲ型为27例。结果本组152例患者均得到随访,术后随访3—18个月,平均6.3个月。主动活动范围采用Dargan功能评定法(评定标准优：伸指0°,屈指指端过掌横纹；良：伸指欠伸≤15°,屈指指端达掌横纹；可：伸指欠伸160—45°,屈指指端距掌横纹≤2厘米；差：伸指欠伸>45°,屈指指端距掌横纹>2厘米)评定,优103例,良30例,可13例,差6例；优良率为87.5%。结论微型锚钉加克氏针固定治疗锤状指疗效可靠,简便易行,但操作应规范,尽量避免并发症的发生。更多还原

【Abstract】 ObjectiveThe purpose of the study was to analyse the clinical observations on the mallet finger treated by micro anchor.MethodsFrom June 2005 to December 2008,152 patients with the mallet finger were treated by fixing the DIP with Kirschner wire and reconstruct insertion of extensor tendon with the micro anchor. Of them there are 130 males and 22 females cases. The average age was 32.2 (15 to 59) years. There are 137 cases with fresh injury,and 15 chronic injury. The cases included 15 index fingers,39 middle fingers,65 ring fingers,33 pinky fingers. We describe the mallet finger with 3 types, TypeⅠ:the total injury of the tender part, TypeⅡ:the injury of the attachment part, TypeⅢ: the avulsion fracture of the dorsal base phalanx finger. There are 12 cases with typeⅠ, 113 typeⅡ, and 27 typeⅢ.ResultsAll the 152 patients were followed for at least 3 months postoperatively (3-18 months; average 6.3months). All the cases were evaluated by the Dargan criteria There are 103 fingers were excellent,30 fingers good,13 finger fair, and 6 finger poor. The good to excellent rate was 87.5%. ConlusionsThe treatment of mallet finger by micro anchor and Kirschner wire is reliable, simply and we should avoid complications.更多还原