Improved treatment of small incision bone Ishiguro mallet fingers.docVIP

 PAGE \* MERGEFORMAT 7 Improved treatment of small incision bone Ishiguro mallet fingers Of: Zhangyan Mao, Li Guohua, Liu Huiren, Cao Lei, Wang Lixin, Chen Yugang, Jui Hung, Li Keli [Abstract] Ishiguro small incision improved treatment of bony mallet fingers of the clinical efficacy, patients were followed up 5 to 24 months, according to the sum of active movement of joints fingers (TAM) to assess the clinical assessment criteria: excellent in 8 cases, good in 3 cases The excellent rate of 100%. [Keywords:] hammer finger; fixation Hammer-shaped bone that is more common in hand surgery, mostly caused by trauma distal phalanx avulsion fracture of the dorsal base, far from clinical manifestations of finger interphalangeal joint flexion, dorsiflexion deformity of a disability, which require surgery .2007 May ~ August 2009 in our department improved Ishiguro small incision treatment of patients with bony mallet fingers, 11 cases achieved better results. Clinical data 1 General information The 11 patients, 8 males and 3 females; aged 15 to 60 years, average 37 years old. All means the extensor tendon avulsion fracture zone . Left in 4 cases, the right hand in 7 cases. Injury means: 1 index finger cases, 5 cases of middle finger, ring finger in 4 cases, 1 case of the little finger. cause of his injuries: 11 cases were blunt trauma; which poke injury in 6 cases, 3 cases of wound breaking, twisting injuries in 2 cases. 1 hour from injury to operation 14 days, average 7 days. by Wehbe law: The more common type of group , a type 1 case, b 1 case, a type 5 cases, b type 3 cases, b type 1 case. 2 surgical methods that nerve block anesthesia, take away interphalangeal joint dorsal transverse incision of about 1.0cm, cut the skin, subcutaneous tissue, due to both sides of the separation of care to protect the extensor tendon and the bone structure and joint continuity capsule to protect both sides of the ligament to expose the fracture, hemorrhage, o