OPEN HAND FRACTURES - AN ANALYSIS OF THE RECOVERY OF ACTIVE MOTION AND OF COMPLICATIONS

被引：110

作者：

DUNCAN, RW ^{[1
]}

FREELAND, AE ^{[1
]}

JABALEY, ME ^{[1
]}

MEYDRECH, EF ^{[1
]}

机构：

[1] UNIV MISSISSIPPI,MED CTR,DEPT ORTHOPAED SURG,2500 N STATE ST,JACKSON,MS 39216

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 03期

关键词：

D O I：

10.1016/0363-5023(93)90080-M

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Seventy-five of 104 patients who underwent operative fixation of open hand fractures were reviewed between 6 months and 7 years after injury (average, 17 months). There were 140 fractures involving 125 fingers. Results, evaluated on the basis of total active range of digital motion achieved at final follow-up, correlated highly with severity of soft tissue injury. When open fractures of comparable severity were contrasted between groups that did and did not require additional extension by incision to achieve acceptable reduction and stabilization, there was some additional loss of active range of motion in the surgically treated group. Metacarpal fractures had significantly better outcomes than phalangeal fractures. Fractures involving the proximal phalanx or the proximal interphalangeal joint had the poorest prognosis, especially when they were associated with tendon injury. There were significant complications in 13 fingers. Infection and late amputation were related to wound severity.

引用

页码：387 / 394

页数：8

共 20 条

[1]

Strickland, Steichen, Kleinman, Flynn, Factors influencing digital performance after phalangeal fracture, Difficult problems in hand surgery, pp. 126-139, (1982)

[2]

Strickland, Steichen, Kleinman, Hastings, Flynn, Phalangeal fractures—factors influencing performance, Orthop Rev, 11, pp. 39-50, (1982)

[3]

James, Fractures of the proximal and middle phalanges of the fingers, Acta Orthop Scand, 32, pp. 401-412, (1962)

[4]

Pun, Chow, So, Et al., A prospective study on 284 digital fractures of the hand, J Hand Surg, 14 A, pp. 474-481, (1989)

[5]

Chow, Pun, So, Et al., A prospective study of 245 open digital fractures of the hand, J Hand Surg, 16 B, pp. 137-140, (1991)

[6]

Huffaker, Wray, Weeks, Factors influencing final range of motion in the fingers after fractures of the hand, Plast Reconstr Surg, 63, pp. 82-87, (1979)

[7]

Swanson, Szabo, Anderson, Open hand fractures: prognosis and classification, J Hand Surg, 16 A, pp. 101-107, (1991)

[8]

McLain, Steyers, Stoddard, Infections in open fractures of the hand, J Hand Surg, 16 A, pp. 108-112, (1991)

[9]

Pun, Chow, So, Et al., Unstable phalangeal fractures: treatment by AO screw and plate fixation, J Hand Surg, 16 A, pp. 113-117, (1991)

[10]

Bunnell, The injured hand: principles of treatment, Indust Med Surg, 22, pp. 251-254, (1953)

← 1 2 →