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微型螺钉内固定治疗Bennett2区骨折
Hits: 2255   Download times: 1380   Received:September 23, 2005    
作者Author单位UnitE-Mail
骆剑敏 LUO Jian-min 绍兴市人民医院骨科,浙江绍兴312000 Depaartment of Orthopaedics,the People’s Hospital of Shaoxing,Shaoxing 312000,Zhejiang,China zbsx@163.com 
沈是铭 SHEN Shi-ming 宁波市第一医院骨科,  
期刊信息:《中国骨伤》2006年19卷,第5期,第279-280页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨微型螺钉内固定治疗Bennett2区骨折的临床疗效。

方法:Bennett2区骨折20例,男18例,女2例;年龄19~46岁,平均30岁;右侧16例,左侧4例。切开复位后,应用2枚直径2.0mm微型螺钉固定第1掌骨底部与内侧三角骨块。术后早期功能锻炼。

结果:所有患者均获随访,时间6个月~1年,平均8.8个月。所有患者均获良好复位和固定,骨折愈合时间4~5周,均为Ⅰ期愈合。采用孟永生疗效评价标准:优18例,良2例。

结论:微型螺钉内固定具有固定确实、术后可早期功能锻炼、减少并发症的发生等优点。
[关键词]:掌骨  骨折  内固定器
 
Treatment of Bennett zone 2 fracture with mini-screw internal fixation
Abstract:

Objective:To study the curative effect with mini-screw internal fixation on Bennett zone 2 fracture.

Methods:Twenty patients(18 male and 2 female;The average age of 30 years ranging from 19 to 46 years;16 right and 4 left)with Bennett zone 2 fracture were treated by open reduction and two pieces of 2.0 mm mini-screws fixation on base of the first metacarpal and lateral bonetriangular bone.Early functional exercise of postoperative were done in all patients.

Results:All patients were followed up for from 6 months to 1 year(mean 8.8 months).All patients were obtained good reposition and fixation.The time of fracture healing were from 4 to 5 weeks,all patients healed of Ⅰ period.According to MENG Yong-sheng curative effect standard,the results were exellent in 18 cases,good in 2 cases.

Conclusion:Mini-screw is a good method in treating Bennett zone 2 fracture.It is characterized by fixation firmly and early functional exercise after operation and reducing the complication.
KEYWORDS:Metacarpus  Fractures  Internal fixators
 
引用本文,请按以下格式著录参考文献:
中文格式:骆剑敏,沈是铭.微型螺钉内固定治疗Bennett2区骨折[J].中国骨伤,2006,19(5):279~280
英文格式:LUO Jian-min,SHEN Shi-ming.Treatment of Bennett zone 2 fracture with mini-screw internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(5):279~280
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