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首页> 外文期刊>The journal of hand surgery. British and European volume: Journal of the British Society for Surgery of the Hand >A prospective randomized controlled study of fixation of long oblique and spiral shaft fractures of the proximal phalanx: closed reduction and percutaneous Kirschner wiring versus open reduction and lag screw fixation.
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A prospective randomized controlled study of fixation of long oblique and spiral shaft fractures of the proximal phalanx: closed reduction and percutaneous Kirschner wiring versus open reduction and lag screw fixation.

机译：前骨近端长斜和螺旋轴骨折固定的前瞻性随机对照研究：闭合复位和经皮克氏针与开放复位和拉力螺钉固定。

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摘要

Patients with an isolated spiral or long oblique fracture of the proximal phalanx were randomized into two groups. One was treated by closed reduction and Kirschner wire fixation and the second treated by open reduction and lag screw fixation. An independent observer assessed function, pain, movement, grip strength and intrinsic muscle function. X-rays were assessed for malunion. Thirty-two patients were entered the study and 15 in the Kirschner wire and 13 in the lag screw group were reviewed at a mean follow-up of 40 months. There was no significant difference in the functional recovery rates or in the pain scores for the two groups. X-rays showed similar rates of malunion and there were no statistically significant differences in range of movement or grip strength.
机译：将孤立的近端指骨螺旋形或长斜形骨折患者随机分为两组。一种通过闭合复位和克氏针固定治疗，第二种通过开放复位和方头螺钉固定治疗。独立的观察者评估功能，疼痛，运动，握力和内在肌肉功能。对X射线评估畸形畸形。平均随访时间为40个月，对32例患者进行了研究，对Kirschner线中的15例和方头螺钉组中的13例进行了回顾。两组的功能恢复率或疼痛评分无显着差异。 X射线显示畸形的发生率相似，并且运动范围或握力的差异无统计学意义。

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