文章摘要
弧形切口手术在腱性锤状指治疗中的应用效果分析
Analysis of the Application Effect of Curved Incision Surgery in the Treatment of Hammock Finger Tendon
投稿时间:2025-02-28  修订日期:2025-02-28
DOI:
中文关键词: 弧形切口手术  腱性锤状指  伤口愈合  功能恢复  并发症
英文关键词: Curved incision surgery  Hammock finger tendon  Wound healing  Functional recovery  Complication
基金项目:深圳市科技计划项目(JCYJ20220531091011026)
作者单位邮编
罗欢* 深圳平乐骨伤科医院(深圳市坪山区中医院) 518010
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中文摘要:
      目的:探讨弧形切口手术在腱性锤状指治疗中的应用效果。方法:选取2022年5月至2023年5月深圳平乐骨伤科医院收治的腱性锤状指患者45例,均接受弧形切口手术治疗。术后观察伤口愈合情况、功能恢复情况及并发症发生率。结果:本研究中45例腱性锤状指患者均成功获得随访,随访时间3~18个月,平均随访1年。随访结果显示,切口均一期愈合,无皮肤感染坏死、线结外露、皮肤刺激等切口并发症发生。术后拔克氏针前后复查X线片,未发现克氏针松动、骨块重新移位、骨不愈合等并发症。随访期间未见明显垂指畸形复发。Crawford分级显示:优35例,良9例,可1例。结论:采用弧形切口手术治疗腱性锤状指,具有手术创伤小、恢复快、并发症少等优点,疗效较好。
英文摘要:
      Objective:To investigate the application effect of curved incision surgery in the treatment of hammock finger tendon. Methods:45 patients with hammock finger tendon who were admitted to Pingle Orthopedics and Traumatology Hospital in Shenzhen were selected from May 2022 to May 2023, all of whom were treated with curved incision surgery. Wound healing, functional recovery and complication rate were observed after surgery. Results:In this study, 45 patients with hammock finger tendon were successfully followed up for 3 to 18 months, with an average follow-up of 1 year. The results of follow-up showed that all the incisions healed in one stage, and there were no complications such as skin infection and necrosis, exposed knots and skin irritation. X-ray reexamination before and after the operation showed, no complications such as loosening of the Kirkner needle, redisplacement of bone mass and nonunion of bone. During the follow-up period, there was no significant recurrence of vertical deformity. Crawford grading showed that, 35 cases were excellent, 9 were good, and 1 was fair. Conclusion:Using curved incision surgery to treat hammock finger tendon, which has the advantages of less trauma, faster recovery and fewer complications, and the effect is good.
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