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目的 探讨经皮克氏针结合带线锚钉治疗腕掌关节骨折脱位的临床疗效.方法 2009年10月至2013年5月,共收治18例腕掌关节骨折脱位患者.应用经皮克氏针固定腕掌关节骨折脱位并根据韧带损伤情况选用带线锚钉重建修复腕掌关节背侧韧带.术后前臂石膏托外固定4周,拔除克氏针,去除外固定后进行功能锻炼.结果 术后18例患者获得9～24个月随访,平均14.5个月,骨折均愈合,愈合时间8～ 12周,平均9.5周,克氏针无断裂,腕掌关节无再次脱位及半脱位.根据中华医学会手外科学会上肢部分功能评定试用标准评定:优13例,良4例,可1例;优良率94.44％.结论 经皮克氏针结合带线锚钉治疗腕掌关节骨折脱位,可提供多平面、多方位牢靠的固定,有助于早期功能锻炼,是治疗腕掌关节骨折脱位的理想选择之一.“,”Objective To evaluate the clinical outcomes of treating carpometacarpal joint dislocation and fracture with percutaneous Kirschner wire and suture anchor.Methods A total of 18 patients with carpometacarpal joint dislocation and fracture were treated by percutaneous Kirschner wire fixation from October 2009 to May 2013.Suture anchor was used to repair the dorsal carpometacarpal ligaments.Forearm cast was applied for 4 weeks postoperatively to immobilize the wrist.Functional exercise was resumed after removal of the cast and Kirschner wires.Results All 18 patients were follow-up for an average of 14.5 months (range,9 to 24 months).Bone union was achieved in all the cases,with an average bone healing time of 9.5 weeks (range,8 to 12 weeks).No breakage of Kirschnerw wire and carpometacarpal joint dislocation was observed.According to the upper extremity functional evaluation criteria issued by the Hand Surgery Society of the Chinese Medical Association,the results were excellent in 13 cases,good in 4 cases,and fair in 1 case,with an excellent and good rate of 94.44％.Condusion Percutaneous Kirschner wire and suture anchor provide multi-plane,multi-faceted firm fixation of carpometacarpal joint dislocation and fracture.It facilitates early functional exercise.It is hence one of the ideal choices for the treatment of carpometacarpal joint dislocation and fracture.