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自制微型平行牵引架在指骨关节内骨折中的应用
Application of self-made miniature parallel traction frame in intraarticular fractures of the fingers
  
DOI:
中文关键词:  自制微型平行牵引架  指骨关节内骨折  骨折固定术
英文关键词:Self-made miniature parallel traction frame  Intraarticular fractures of the fingers  Fracture fixation
基金项目:
作者单位
刘延子 陈树涛* 张成  
通讯作者:刘延子 陈树涛* 张成    
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中文摘要:
      目的 探讨自制微型平行牵引架治疗指骨关节内骨折的疗效。方法 分析山东省淄博市第七人民医院2018年3月至2020年5月收治的指骨骨折患者共31例,均为指骨关节内骨折,采用自制微型平行牵引架治疗,通过记录术后有无感染等并发症、骨折愈合时间、手功能TAM评分等,评价该治疗方法的疗效。结果 患者共随访8 ~ 21个月,平均13.5 个月。骨折愈合时间6 ~ 10 周,平均7.1 周。术后1 例患者针道口处浅表感染,通过多次换药治愈,随访手功能TAM评分标准:优25例,良4例,可2例,优良率93.5%。结论 自制微型平行牵引架治疗指骨关节内骨折创伤小、操作简单、固定牢靠、可以动态调节,有利于骨折愈合,是一种疗效可靠、经济实用的治疗方案,值得临床进一步推广应用。
英文摘要:
      Objective To explore the clinical effect of self-made miniature parallel traction frame in the treatment of intraarticular fractures of the fingers. Methods A total of 31 patients were selected in Zibo Seventh People's Hospital from March 2018 to May 2020, all of them were intraarticular fractures of the fingers, and were treated with self-made miniature parallel traction frame. The postoperative infection and other complications, fracture healing time and TAM score were recorded to evaluate the efficacy of the treatment. Results They were followed up for 8-21 months, with an average of 13.5 months. Postoperative superficial infection occurred in 1 patient, which was cured by multiple dressing change. The fracture healing time ranged from 6 to 10 weeks, with an average of 7.1 weeks. The TAM scores were as follows: Excellent 25 in cases, good 4 in cases and fair in 2 cases, the excellent and good rate was 93.5%. Conclusion The self-made miniature parallel traction frame for the treatment of intraarticular fractures of the fingers has the advantages of small trauma, simplicity of operator, firm fixation and dynamic adjustment, which is beneficial to fracture healing. It is a reliable, economical and practical treatment scheme, and worthy of further clinical application.
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