陈旧性bennett骨折的处理

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1、Bennett'sFractureofthe ThumbDepartmentofHandSurgeryYingChuanGuoLongHospitalChunYanHuangMDThefracturedescribedbyEdwardHallaranBennettin1882,however,isanunstableobliquefractureenteringthecarpometacarpaljointataboutthemiddleofthearticularsurfaceDefinitionCompositionFructionDamagemechanismsABennett

2、’sfractureoccurswhenthemetacarpalboneinthethumbbreaksanddislocatesatthebaseofthethumb. Thisinjuryoccurswhenaforceisplacedonthethumbwhenitisslightlybent. Bennett’sfracturescanresultfromanysignificantforcesplacedonthebaseofthethumb,suchassports,fallsandaccidentsTreatment——FreshinjuryProblem——Join

3、tinstabilityYourdoctorwillevaluateyourx-raystodeterminetheappropriatetreatmentfortheinjury.Ifthejointsurfaceislinedupwell,acastcanbeusedfortreatment.Ifthejointsurfaceisoutofposition,usuallysurgerywillberecommended.Atthetimeofsurgery,yourdoctorwilldetermineifthebonescanbeheldinplacewithpinsplace

4、dthroughtheskin.Ifnot,anincisionismadetoproperlyalignthebonefragments.Treatment——ChronicinjuriesArthrodesisComparedLigamentReconstructionandTendonInterpositionThumbCarpometacarpalOsteoarthritis:ArthrodesisComparedwithLigamentReconstructionandTendonInterpositionTheJournalofBoneandJointSurgery(Am

5、erican)83:1470-1478(2001)畸形愈合伴持续性半脱位可发展为腕掌关节疼痛性关节炎。6周后不应再尝试复位。一旦出现退行性关节炎，应行关节融合术或关节成形术——GiachinoThankyou！