| 梁晨,杨寅,张延平,等.阻挡针技术治疗急性闭合性末节指骨肌腱止点撕脱性骨折的临床效果观察.骨科,2019,10(6): 521-525. |
| 阻挡针技术治疗急性闭合性末节指骨肌腱止点撕脱性骨折的临床效果观察 |
| Clinical effect of blocking needle technique in the treatment of avulsion fracture of acute closed phalangette tendon |
| 投稿时间：2019-03-09 |
| DOI：10.3969/j.issn.1674-8573.2019.06.007 |
| 中文关键词: 阻挡针技术 闭合性 肌腱 撕脱骨折 |
| 英文关键词: Blocking needle technique Closed Tendon Avulsion fracture |
| 基金项目:陕西省重点研发计划（2017SF-287） |
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| 中文摘要: |
| 目的 观察及探讨阻挡针技术治疗急性闭合性末节指骨肌腱止点撕脱性骨折的临床疗效。方法 回顾性分析西安市中心医院骨二科2013年3月至2018年6月收治的32例急性闭合性末节指骨肌腱止点撕脱性骨折病人资料，其中伸指肌腱止点撕脱骨折30例，指深屈肌腱止点撕脱骨折2例，均采用阻挡针技术进行手术治疗。术后配合外固定制动3周，4周后拔除阻挡针，6周后拔除固定指间关节克氏针，逐步进行功能锻炼，采用Dargan功能评定标准评价手指功能。结果 32例病人手术均顺利完成，所有病人伤口愈合良好，未发生针道感染等并发症。所有病人均获得随访，随访时间平均为8个月（3~15个月），骨折均愈合。Dargan功能评价优良率为84.4%（27/32）。结论 阻挡针技术治疗急性闭合性末节指骨肌腱止点撕脱性骨折，具有简单实用、疗效确切的优点，是一种较好的治疗方法。 |
| 英文摘要: |
| Objective To explore the clinical effect of the treatment of acute avulsion fracture of acute closed phalangette tendon with the technique of blocking needle. Methods Thirty-two cases of acute closed distal phalangeal tendon insertion avulsion fracture admitted to the Second Department of Orthopaedic, Xi'an Central Hospital from March 2013 to June 2018 were analyzed retrospectively, 30 cases of avulsion fractures of the digital extensor tendon and 2 cases of avulsion fractures of the digital flexor tendon were treated with the technique of blocking needle. After the operation, the external fixation was performed for 3 weeks. And the blocking needle was removed after 4 weeks. After 6 weeks, the fixed interphalangeal joint Kirschner wire was removed, and the functional exercise was gradually performed. The function was evaluated by the Dargan method. Results All the patients underwent surgery successfully and had good wound healing, no complications such as needle infection were found. Thirty-two patients were followed up for 3-15 months, with an average of 8 months. The fractures healed. Dargan's functional evaluation rate is 84.4% (27/32). Conclusion Blocking needle technique for the treatment of avulsion fracture of acute closed phalangette tendon, which is simple, practical and effective, and is a good treatment method. |
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