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目的:对比观察钢丝张力带与带线锚钉重建近指间关节掌板止点的临床疗效。方法:自2016年7月至2019年4月，我们共收治36例手指近指间关节掌板止点撕脱患者，其中18例采用钢丝张力带重建掌板止点(钢丝组)，18例采用带线锚钉重建掌板止点(锚钉组)。随访比较两组患者的手术相关指标、术后并发症、关节活动度，采用手指总主动屈曲度量表(total active flexion scale，TAFS)评价患者的手功能恢复情况。结果:钢丝组的手术时间及手功能锻炼开始时间明显短于锚钉组，差异有统计学意义(n P0.05)；两组在感染、内固定松动、肌腱粘连、关节僵硬等独立并发症方面差异无统计学意义(n P>0.05)，但锚钉组的总并发症比例明显高于钢丝组，差异有统计学意义(n P0.05), but the total complication ratio in the anchor group was significantly higher than that in the steel wire group, and the difference between the two groups was statistically significant (n P<0.05); the activity of proximal interphalangeal joint in the two groups was significantly improved after operation, and the improvement of the steel wire group was better than that of the anchor group with the difference being statistically significant (n P<0.05); the excellent and good rate of TAFS in the steel wire group was significantly higher than that in the anchor group with the difference being statistically significant (n P<0.05).n Conclusion:The reconstruction of the volar plate insertion with steel wire tension band is better than that with anchor in the operation time, the beginning time of functional exercise, overall postoperative complications, the improvement of joint activity and hand function recovery, which can obtain better clinical efficacy.