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首页> 外文期刊>Injury >Old principles revisited-traction splinting for closed proximal phalangeal fractures.
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Old principles revisited-traction splinting for closed proximal phalangeal fractures.

机译：旧原则重新牵引夹板治疗闭合性指骨近端骨折。

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摘要

Proximal phalangeal fractures are commonly caused by a blunt injury to the dorsum of the hand. This typically results in a closed transverse fracture with volar angulation, which is an inherently unstable fracture pattern. K-wiring and internal fixation have the disadvantage of damage to the soft tissue envelope, risk of infection and wire loosening.We describe 15 patients treated with an alternative method of skin traction and splintage in our regional trauma centre. Fractures were reduced under X-ray and reduction was maintained using a combination of a malleable metal splint and tape to provide skin traction. Fourteen patients had an excellent objective and subjective outcome.The advantage of our technique is preservation of the soft tissue envelope and it should be considered an alternative to other treatment options as it is simple, quick, inexpensive and non-invasive.
机译：指骨近端骨折通常是由于手背钝性损伤引起的。这通常导致具有掌侧角的闭合横向骨折，这是固有的不稳定骨折模式。 K线和内固定的缺点是损坏软组织的包膜，感染的风险和钢丝松动。我们在本地区创伤中心描述了15例采用另一种皮肤牵引和夹板方法治疗的患者。在X射线下减少骨折，并使用可延展的金属夹板和胶带组合以保持皮肤的牵引力。 14例患者的主观和客观结局都很好。我们的技术的优势是保留了软组织包膜，并且由于其简单，快速，便宜且无创性，应被视为其他治疗方案的替代方案。

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