【作者】 姜志刚；

【导师】 张君；

【作者基本信息】 吉林大学 ， 外科学， 2006， 硕士

【摘要】 手部骨折在手外伤中占有很大比重,由于手部的功能特点,因此在手部骨折治疗的过程中又与其它部位的骨折有所不同。采取何种方式治疗手部骨折各有其优缺点,选择一种合适的方式尤为重要。本文针对手部骨折的好发部位及掌骨、指骨的不同特点,通过对三种不同内固定方法进行生物力学的研究,发现手部微型钢板在压缩试验、弯曲试验及骨粘弹性试验方面均较克氏针固定具有明显优势。同时,我们对2001～2005年56例手部骨折的患者采用微型钢板进行治疗,结果显示:微型钢板在治疗手部骨折的过程中,手术操作简便,固定确切,可早期功能练习,能较好的恢复手部的功能。更多还原

【Abstract】 Objective: As a common and frequently occurring disease, fracture in hand surgery involves metacarpal bone and phalanges of fingers, taking up more than 10 percent of all the hand surgery cases, and around 40 percent of hand trauma emergency. Due to its fineness of structure and complexity of function, hand treatment, in diacrisis and management, needs a high degree of strictness, particularity and correctness. Some patients of hand surgery still surfer from functional loss of different levels owing to delayed and/or incorrect treatment. Thus, it is time we focused more on hand fracture. Most of the fracture cases fall in the category of stabilization and involve cypsum fibrosum or cleat; while others, those unstable cases, often call for operations. A most traditional way here is internal fixation by Kirschner wire, though it will hinder the injured hand to perform early functional exercise and hence will affect the healing process. In recent years, quite a few scholars, home and abroad, employ minisize armor plate to fix metacarpal bone and phalanges of fingers. They clarified how well this plate can更多还原