Objective to investigate the clinical effect of closed reduction and minimally invasive treatment of Bennett fracture with full thread hollow compression screw.
Results all patients were followed up for 12 ~ 24 months, with an average of 15.5 months.
The activity of interphalangeal joint is normal.
Gartland werley scale was used to evaluate wrist function.
The repaired finger pulp has good shape, soft texture, wear resistance and no obvious tenderness.
A total of 48 cases and 51 fingers, with a cut area of 1.5cm × 1.5cm~2.5cm × 3.5cm。 Results all flaps survived and were followed up for 6 ~ 26 months, with an average of 13.5 months.
All fractures healed, and the healing time was 4 ~ 8 weeks, with an average of 6 weeks.
Some pronator muscles were retained during operation.
Conclusion the medial single incision double window approach can provide good exposure for the treatment of ulna coronal process fracture, which is conducive to fracture reduction and fixation, and the clinical treatment effect is satisfactory.
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All fractures healed well.
The fracture healing was observed according to imaging evaluation.
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The dorsal branch of the proper digital nerve was carried to repair the defect of the pulp of the finger and reconstruct the sensation of the pulp of the finger.
The removal time of threaded Kirschner wire was 6 ~ 8 weeks, with an average of 6.5 weeks.
MEPs score in the last follow-up: excellent in 6 cases, good in 4 cases and fair in 1 case.
Results the operation time was 50 ~ 70 min, with an average of (60 ± 10) min; The amount of intraoperative bleeding was 10 ~ 20ml, with an average of (15 ± 5) ml.
The time of removing the plaster support was 2 ~ 3 weeks after operation, with an average of 2.5 weeks.
Objective to report the efficacy of locking plate with partial preservation of pronator muscle through volar approach in the treatment of unstable fractures of the distal radius.
Objective to repair finger pulp defect with retrograde island flap of dorsal branch of digital artery with dorsal branch of proper digital nerve.
The two-point resolution is 7 ~ 11mm, with an average of 8mm.
The excellent and good rate was 98.2%.
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Conclusion the minimally invasive treatment of Bennett fracture with full thread hollow compression screw or hollow compression screw + threaded Kirschner wire is a treatment method with less trauma and rapid recovery.
Methods from September 2005 to December 2016, according to the anatomical basis of the dorsal branch of the digital artery and the dorsal branch of the proper digital nerve, a retrograde island flap was designed on the dorsal side of the proximal and middle segments of the finger.
The operation is simple and safe.
The operation time and intraoperative blood loss were recorded.
There were no complications such as displacement of fracture block, failure of internal fixation, loosening or fracture of locking plate screw, wound infection and so on.
Conclusion the reverse island flap of the dorsal branch of the digital artery with the dorsal branch of the proper digital nerve does not damage the main blood vessels and nerves of the finger.
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109 patients were followed up for 12 ~ 36 months, with an average of 20 months.
At the last follow-up, elbow function was evaluated by MEPs and Broberg Morrey scoring system.
Methods from April 2015 to April 2017, 17 patients with Bennett fracture underwent closed reduction and were fixed with two full thread hollow compression screws or hollow compression screws + threaded Kirschner wire.
Methods three adult cadavers (6 sides in total) were selected to study the anatomy related to the coronal process of elbow joint, to explore the reasonable method of exposing and internal fixation of ulnar coronal process, and to design a single incision double window approach and simulate the operation; In this study, 11 patients with elbow coronal process fracture were treated with open reduction and internal fixation.
Methods from January 2014 to December 2016, 109 patients with unstable distal radius fractures were treated with locking plate.
All fractures healed in the first stage, without neurovascular injury complications, fracture re displacement and internal fixation failure.
Gartland werley score scale was used to evaluate wrist function: excellent in 89 cases, good in 18 cases and medium in 2 cases.
After operation, they were fixed with adjustable brace for 4 ~ 6 weeks, and gradually began to exercise elbow flexion and extension function one week after operation.
Wrist function recovered well.
It can repair the wound of the finger abdomen and reconstruct the feeling of the finger abdomen at the same time.
Conclusion the treatment of unstable fractures of the distal radius with partial preservation of pronator locking plate through the volar approach can reduce the excessive stripping of soft tissue and preserve pronator muscle, with less complications, rapid fracture healing, good recovery of wrist function and definite curative effect.
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Results the follow-up time was 3 ~ 24 months, with an average of 16 months.
The first carpometacarpal joint was fixed with plaster for 2 ~ 3 weeks.
The function of the affected finger is ideal and the curative effect is satisfactory.
One case of extensor pollicis longus tendon ruptured 4 months after operation, and the extensor pollicis longus tendon was transplanted to reconstruct the extensor pollicis longus tendon function when the internal fixation was taken out 12 months.
The curative effects of thumb motor function, pain and continuity of articular surface were evaluated: 16 cases had excellent motor function and 1 case was poor; The continuity of articular surface was excellent in 14 cases, good in 2 cases and poor in 1 case.
Objective to analyze the anatomical characteristics around the ulnar coronal process, design a single incision and double window approach to expose the ulnar coronal process, and explore the surgical method and clinical effect of this approach in the treatment of ulnar coronal process fractures.
Micro signal | 18126646926 general journal, core, SCI..
Recheck the X-ray film or three-dimensional CT, and decide the time to remove the gypsum support and threaded Kirschner wire according to the fracture healing.
