小児の手指の骨折, 脱臼について

手術例の検討

抄録

We analyzed 68 cases of operative management of fractured and dislocated fingers in children, one to sixteen-year-old (average, 10-year-old), 43 boys and 25 girls, 14 cases of amputation, 16 open fractures, 9 fracture-dislocations, 9 mallet deformities, 13 distal end fractures of the middle phalanx, 6 closed diaphyseal fractures, 11 epiphyseal fractures. Indications for open reduction were open injury, distal end fracture of phalanx, irreducible or unstable fracture and dislocation, malrotation, malunion and Salter-Harris type III epiphyseal injury with volar subluxation of joint. Irreducible cases necessitate early open reduction with internal fixation, for early reliable treatment can result in a satisfactory outcome.