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首页> 外文期刊>The Journal of hand surgery, European volume >Pins and rubber traction system for intra-articular proximal interphalangeal joint fractures revisited
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Pins and rubber traction system for intra-articular proximal interphalangeal joint fractures revisited

机译：再次讨论关节内近端指间关节骨折的销钉和橡胶牵引系统

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摘要

The Pins and Rubber Traction System (PRTS) can be used to treat proximal interphalangeal intra-articular fractures. Our experience is that outcomes are not always excellent and that many patients have reduced joint function or residual deformities. The aim of this study was to evaluate the reasons behind the poorer outcomes of some of the patients treated with this system. A retrospective clinical and radiological evaluation was performed on 15 patients after a minimum of 2 years' follow-up. The mean interphalangeal joint flexion range was 66° (range 0-100) in our series. The review of the literature shows an average active interphalangeal joint flexion of 78° (range 64-95). Reasons for this difference include preoperative delay, technical deficiencies, the learning curve, a lack in postoperative physiotherapy and degenerative changes due to the longer follow-up. Although the Pins and Rubber Traction System seems a simple procedure, a learning curve is necessary to avoid pitfalls.
机译：销钉和橡胶牵引系统（PRTS）可用于治疗近端指间关节内骨折。我们的经验是结果并不总是那么好，许多患者的关节功能下降或残留畸形。这项研究的目的是评估使用该系统治疗的某些患者预后较差的原因。经过至少2年的随访，对15例患者进行了回顾性临床和放射学评估。在我们的系列中，平均指间关节屈曲范围是66°（范围0-100）。文献综述显示，平均活动性指间关节屈曲为78°（范围64-95）。造成这种差异的原因包括术前延迟，技术缺陷，学习曲线，术后长期缺乏理疗和由于随访时间长而导致的退行性变化。尽管销钉和橡胶牵引系统似乎是一个简单的过程，但是学习曲线对于避免陷阱是必要的。

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