微型铆钉联合克氏针治疗锤状指的安全性及有效性

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Abstract Objective To study the safety and efficacy of mini rivet combined with Kirschner wire in the treatment of mallet finger. Methods A total of 120 patients with mallet finger admitted to Huai’an First Hospital Affiliated to Nanjing Medical University from July 2016 to July 2018 were selected, they were divided into observation group and control group by random number table method, with 60 cases in each group. The control group was treated with Kirschner wire operation, and the observation group was treated with mini rivet on the basis of the control group. The clinical efficacy and incidence of complications were compared between the two groups. Finger joint recovery (extension angle, active flexion angle, range of motion) and visual analogue scale (VAS) were compared between the two groups at six months and 12 months after operation. The peak systolic velocity (PSV), diastolic peak velocity (EDV) and resistance index (RI) of digital ventral artery were compared between the two groups before and 12 months after operation. Results The clinical excellent and good rate in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). At 6, 12 months after operation, the active flexion angle and range of motion in the observation group were higher than those in the control group, while the extension angle was lower than that in the control group, with statistical significance (all P ＜ 0.05). Twelve months after operation, PSV and EDV in the observation group were higher than before operation, RI was lower than before operation, EDV in the control group was higher than before operation, RI in the control group was lower than lower than before operation, and PSV and EDV in the observation group were higher than those in the control group, RI was lower than that in the control group, the differences were statistically significant (all P ＜ 0.05). There was no significant difference in PSV between before and 12 months after operation in the control group (P ＞ 0.05). There was no significant difference in the total incidence of complications between the two groups (P ＞ 0.05). Conclusion Mini rivet combined with Kirschner wire has better efficacy and safety in the treatment of mallet finger.

Key words： Mini rivet Kirschner wire Mallet finger Blood microcirculation Finger function

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	XU Yong CAI Wei YU Yifan ZUO Wenshan▲

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XU Yong CAI Wei YU Yifan ZUO Wenshan▲. Safety and efficacy of mini rivet combined with Kirschner wire in the treatment of mallet finger[J]. 中国医药导报, 2021, 18(12): 103-106.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I12/103

[1] Bachoura A，Ferikes AJ，Lubahn JD. A review of mallet finger and jersey finger injuries in the athlete [J]. Curr Rev Musculoskelet Med，2017，10（1）：1-9.
[2] 孙文弢，张文龙.外伤性锤状指研究进展[J].中国骨与关节损伤杂志，2016，31（5）：559-560.
[3] 成德亮，李刚，张丽君，等.闭合复位经皮克氏针内固定治疗新鲜骨性锤状指[J].临床骨科杂志，2018，21（1）：130.
[4] Lin JS，Samora JB. Surgical and Nonsurgical Management of Mallet Finger：A Systematic Review [J]. J Hand Surg Am，2018，43（2）：146-163.
[5] 朱勇，朱永林，罗显德，等.克氏针和微型钢板内固定治疗不同节段掌指骨骨折疗效比较[J].医学临床研究，2015， 32（7）：1370-1372.
[6] 黄少帆，汪强，黄健曦.克氏针固定锤状指畸形效果及其影响因素分析[J].中华生物医学工程杂志，2018，24（2）：126-129.
[7] 王春书，谢凌寒，汪剑龄，等.微型铆钉和抽出钢丝法治疗锤状指畸形的疗效比较[J].江苏医药，2016，42（24）：2760-2761.
[8] 杨晨松，邵钦，陈春华，等.微型锚钉治疗腱性锤状指的疗效分析[J].中华手外科杂志，2017，33（4）：269-270.
[9] 亓恒涛，李淑媛，王增涛，等.高频超声在急性闭合性锤状指检测中的应用价值[J].中华超声影像学杂志，2014， 23（6）：524-526.
[10] Wehbé MA，Schneider LH. Mallet fractures [J]. J Bone Joint Surg Am，1984，66（5）：658-669.
[11] Crawford GP. The molded polythene splint for mallet finger deformities [J]. J Hand Surg Am，1984，9（2）：231-237.
[12] 樊春亮，刘永红，郭爱，等.关节镜下微创手术治疗运动性肩袖损伤临床疗效及视觉模拟评分疼痛评分探讨[J].中国药物与临床，2018，18（12）：118-120.
[13] Prakash R，Ong E，Brown D，et al. Patient-initiated splintage of a mallet finger injury avoids unnecessary complications [J]. Br J Hosp Med（Lond），2017，78（5）：296-297.
[14] 张卫华，华长城，刘思源.两种手术方式治疗伸肌腱止点撕脱性骨折[J].临床骨科杂志，2018，21（6）：672.
[15] 刘宏君，冯清波，张文忠，等.腱性锤状指的治疗[J].中华整形外科杂志，2019，35（7）：674-676.
[16] 冯欢欢，苏方东，杨利中，等.带线锚钉联合克氏针治疗锤状指11例[J].中国中医骨伤科杂志，2016，24（9）：45.
[17] 白延彬，邵新中，于亚东，等.交叉克氏针及微型空心螺钉治疗末节指骨骨折的效果比较[J].河北医药，2020， 42（11）：1709-1711，1715.
[18] 刘涛.Mitek微型骨锚钉重建伸肌腱止点术治疗陈旧性锤状指的疗效[J].上海医学，2018，41（9）：45-47.
[19] 郭尔斐，宋亮亮，张斌，等.微型锚钉修复伸肌腱止点断裂对术后肌腱粘连影响的研究[J].现代中西医结合杂志，2017，26（1）：76-78.
[20] 王楠，侯桥，申丰.克氏针固定抽出钢丝法联合微型带线锚钉治疗骨性锤状指[J].中国骨与关节损伤杂志，2016，31（11）：1219-1220.
[21] 顾松，谢仁国.单纯克氏针与微型骨锚钉联合克氏针治疗DoyleⅠa型锤状指的疗效对比[J].中华手外科杂志，2018，34（5）：367-369.
[22] 王凌椿，潘培军，戴号.微型铆钉治疗掌指关节尺偏20例疗效分析[J].实用骨科杂志，2019，25（7）：649-652.
[23] 李强，夏启水，冷元曦，等.微型可吸收锚钉治疗锤状指的临床应用[J].实用骨科杂志，2018，24（6）：547-549.
[24] 郑力峰，谢昀，叶君健，等.骨锚钉结合克氏针与单纯克氏针治疗锤状指的比较研究[J].中华手外科杂志，2018， 34（5）：329-332.
[25] 项飞，吴新军，牟洪.改良切口及微型带线锚钉治疗锤状指[J].临床骨科杂志，2017，20（1）：126.
[26] 冯欢欢，杨利中，龚正丰.微型带线锚钉联合克氏针治疗锤状指22例[J].中国中医骨伤科杂志，2020，28（6）：73-75.