岭南现代临床外科2025，Vol.25Issue(3)：174-178,5.DOI:10.3969/j.issn.1009-976X.2025.03.005
闭合复位单枚克氏针纵向固定治疗儿童近节指骨严重移位型骨骺旁骨折的临床疗效分析
Clinical efficacy of longitudinal fixation with a single Kirschner pin in closed reduction for severely displaced juxta-epiphyseal fracture of the proximal phalanx in children
摘要
Abstract
Objective To explore the clinical efficacy of longitudinal fixation with a single Kirschner pin in closed reduction for severely displaced juxta-epiphyseal fracture of the proximal phalanx in chil-dren.Methods A retrospective analysis of 24 cases of juxta-epiphyseal fracture of the proximal phalanx in children were performed,in whom treated with closed-displacement single Kirschner pin longitudinal fixation from January 2018 to December 2020.All of them were acute closed fractures,diagnosed by X-ray before operation,and of them were severely displaced(type Ⅱ)juxta-epiphyseal fracture according to the Campbell's line,all were successfully closed-displaced and single Kirschner pin longitudinally fixated,and followed up regularly after operation.The function and growth of the affected fingers were observedduring regular follow-up after operation.Results The follow-up period ranged from 40 to 69 months,with an average of 51.23 months.All the children had healed the fracture at outpatient review,and the average healing time was 3.5 weeks.All cases were rated as excellent according to the hand function evaluation criteria in the trial standards for upper limb functional assessment by the Hand Surgery Society of the Chinese Medical Association,with no complications such as infection,skin necro-sis,nonunion,premature physeal closure,or severe malunion of fingers.Conclusion Close dreduction longitudinal fixation with a single Kirschner pin can achieve satisfactory results in treating severely displaced juxta-epiphyseal fracture of the proximal phalanx in children.关键词
儿童/指骨/骨骺旁骨折/单枚克氏针纵向固定Key words
children/finger phalanges/juxta-epiphyseal fracture/single Kirschner pin longitudinal fixation分类
医药卫生引用本文复制引用
王帅印,黄子龙,李佳卉,刘仕哲,付桂兵..闭合复位单枚克氏针纵向固定治疗儿童近节指骨严重移位型骨骺旁骨折的临床疗效分析[J].岭南现代临床外科,2025,25(3):174-178,5.基金项目
广东省高水平医院建设专项经费(粤府办[2021]6号) （粤府办[2021]6号）
深圳市"医疗卫生三名工程"项目资助(SZSM202011012) （SZSM202011012）
