OBJECTIVE: The objective of this study was to compare the traditional Kirschner wire fixation method with the U-shaped Kirschner wire method for treating small bone fragments with displacement, rotation, or instability in skier\'s fractures.
METHODS: A retrospective study was conducted on 30 patients with skier\'s thumb who were treated at Tianjin Hospital from January 2019 to December 2021. Patients were divided into two groups: Group A received traditional Kirschner wire fixation, while Group B received U-shaped Kirschner wire fixation. Functional assessments and complications during the perioperative period were evaluated.
RESULTS: Both surgical methods significantly reduced postoperative pain and increased joint range of motion. Group B had a lower incidence of pain during follow-up and showed significant functional improvement in Tip-pinch and Grip tests compared to Group A. U-shaped Kirschner wire fixation significantly reduced complications during the perioperative period.
CONCLUSIONS: The U-shaped Kirschner wire internal fixation is a safe and effective treatment for the thumb proximal phalanx base ulnar side avulsion fracture.
目的:本研究的目的是比较传统的克氏针固定方法与U形克氏针固定方法治疗移位的小骨片,旋转,或者滑雪者骨折不稳定。
方法:对2019年1月至2021年12月天津医院收治的30例滑雪者拇指患者进行回顾性研究。将患者分为两组:A组接受传统的克氏针固定,B组接受U形克氏针固定。评估围手术期的功能评估和并发症。
结果:两种手术方法均可明显减轻术后疼痛,增加关节活动范围。与A组相比,B组在随访期间疼痛发生率较低,并且在Tip-pinch和Grip测试中显示出显着的功能改善。U形克氏针固定在围手术期明显减少了并发症。
结论:U形克氏针内固定治疗拇指近端指骨基尺侧撕脱骨折安全有效。