Treatment of Phalangeal Fractures in Severely Injured Hands
Treatment of Phalangeal Fractures in Severely Injured Hands
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重度手部指骨骨折的治疗
DOI：
10.1054/jhsb.2000.0486
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
S. Hovius
中科院分区：
文献类型：
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作者：
F. V. van Oosterom;G. J. Brete;C. Ozdemir;S. Hovius
本回顾性研究旨在评估指骨骨折手术治疗并发症的发生率。还研究了并发症发生的风险因素。对350例666例手术治疗的指骨骨折患者的记录和X线片进行了研究。最短随访时间为1年。176指骨折一期或二期截肢，490指骨折需随访。93例骨折保守治疗。6%（31/490）的骨折发生了需要再次手术的骨不连，9%（44/490）发生了畸形愈合，2%（8/490）发生了感染。感染、节段性骨丢失和（神经）血管损伤易发生骨不连，再植易发生畸形愈合。外固定器的使用与畸形愈合之间存在统计学相关性。骨不连、畸形愈合和感染率与其他研究相似。
This retrospective study was performed to assess the incidence of complications of operative treatment of phalangeal fractures. Risk factors for the development of complications were also investigated. Records and radiographs of 350 patients with 666 operatively treated phalangeal fractures were studied. Minimum follow-up was 1 year. A total of 176 fractured fingers were amputated primarily or secondarily, leaving 490 fractures for follow-up. Ninety-three fractures were treated conservatively. Nonunion necessitating reoperation developed in 6% (31/490) of fractures, malunion in 9% (44/490) and infection in 2% (8/490). Infection, segmental bone loss and (neuro)vascular injury predisposed to nonunion and replantation predisposed to malunion. There was a statistical correlation between the use of external fixation and malunion. Nonunion, malunion, and infection rates were similar to other studies.