双套圈交叉缝合治疗急性拇指Stener损伤
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唐山市第二医院

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河北省医学适用技术跟踪项目(GZ2020038)


Treatment of acute Stener injury of the thumb by double ring intersecting suture
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The Second Hospitl of Tangshan

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    摘要:

    摘要:[目的] 介绍双套圈交叉缝合治疗急性拇指Stener损伤的手术技术和初步临床结果。[方法] 2012年5月至2019年7月,我科在对12例急性拇指Stener损伤的治疗中,用双套圈交叉缝合治疗急性拇指Stener损伤,重建拇指掌指关节尺侧副韧带止点,术后拇人字石膏下托固定4周,不固定指间关节,期间行指间关节屈伸练习,4周后去除石膏下托,改用支具固定2周,不固定腕关节及指间关节,逐渐锻炼伤指功能。[结果] 术后12例均获得7~25个月,平均15.5个月的随访,拇指掌指关节稳定,活动正常,尺侧侧方应力试验阴性,捏力正常,手背及指背感觉正常。根据Saetta等评定标准:优10例,良1例,可1例,优良率为91.7%。[结论] 对于急性拇指Stener损伤的治疗,采用双套圈交叉缝合的方法可能是一种更好的选择。

    Abstract:

    Abstract:[Objective] To introduce the surgical technique and clinical outcomes of the treatment of acute Stener injury of the thumb by double ring intersecting compression suture. [Methods] From May 2012 to July 2019, 12 patients with acute Stener injury of the thumb were treated using double ring intersecting suture to reconstruct the dead of ulnar collateral ligament of the thumb metacarpophalangeal joint and fixed 4 weeks with short arm spica cast after operation. After 4 weeks the plaster was removed, and Brace was used. We guided the patients to exercise injuried fingers during the 6 weeks gradually. [Results] All the patients were followed up 7-25months (mean, 15.5 months). All joints were characterized by stability. The activity, pinch force and the sensation of thumb humb dorsal were normal. The stress test were negative. According to Saetta et al criteria for functional assessment, the results were excellent in 10 cases, good in 1 cases and acceptable 1 cases, the excellent and good rate was 91.7%. [Conclusion] For the treatment of acute Stener injury of the thumb,it may be a better choice to use double ring intersecting compression suture.

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  • 收稿日期:2021-01-26
  • 最后修改日期:2021-05-18
  • 录用日期:2021-06-22
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