摘要
断指再植选择哪种内固定方法最好．目前仍有争议．为了探讨这个问题，我们总结了１９８６年１２月至１９９３年１２月８３０例１０２４指的断指再植资料．对比了克氏针髓腔内固定、交叉克氏钟内固定两种方法再植后的总优良率，指骨延迟愈合及关节僵硬的发生率，未发现两者有显著差异，提示再植指的功能恢复情况与内固定方法并无明显的相关联系．根据断指再植手术特点，我们认为选择克氏针髓腔内固定最好，速度快，对创面损伤小，固定可靠。交又克氏针操作困难，钢板、钢丝等内固定对创面损伤大，需２次手术，故不适合于断指再植。
It is controversial about the selection of internal fixation in digital replsntation. We compared theintramedullary fixation and crossed fixation with Kirschner wire by analyzing 1024 digital replantationsin 830 cases. No significant difference was found in functional restoration,joint stiffness and delayedbone union rates. We conclude that intramedullary fixation is preferable because it is easy, fast, reliableand less traumatic.
出处
《中华手外科杂志》
CSCD
1995年第3期157-159,共3页
Chinese Journal of Hand Surgery
关键词
断指再植
骨折固定
Replantation Fixation of fracture
