摘要
目的探究微型钢板与克氏针内固定治疗掌指（足跖）骨骨折的效果。方法选取2013年1月~2014年9月来我院就诊的100例掌指（足跖）骨骨折患者,入院后随机分为观察组和对照组,各50例,观察组患者进行微型钢板固定治疗,对照组患者采用克氏针内固定治疗,对比两组患者的疗效及骨折愈合情况。结果观察组患者的优良率为96.0%,显著高于对照组的72.0%,差异有统计学意义（P〈0.05）;观察组术后出现1例延迟愈合,发生率为2.0%,愈合时间为（5.1±0.9）周,对照组延迟愈合4例,骨折不愈合1例,发生率为10.0%,愈合时间为（8.2±1.3）周,两组的不良愈合发生率及愈合时间差异有统计学意义（P〈0.05）。结论微型钢板内固定治疗掌指（足跖）骨骨折具有较好的稳定性,治疗效果明显优于克氏针方案,值得临床推广和应用。
Objective To explore the effect of mini-plate and Kirschner wire for internal fixation in the treatment of metacarpophalangeal or voix pedis bone fracture. Methods From January 2013 to September 2014,100 patients with metacarpophalangeal or voix pedis bone fracture admitted into our hospital were selected.After admission,they were randomly divided into observation group（n=50） and control group（n=50）.In observation group,mini-plate for internal fixation was used,while in control group,Kirschner wire for internal fixation was adopted.The curative effect and bone fracture healing was compared respectively between two groups. Results The excellent and good rate in patients of observation group（96.0%） was obviously higher than that of control group（72.0%）,and there was a statistical difference（P〈0.05）.1 case occurred with delayed healing after surgery in observation group,and the incidence rate was 2.0%.The healing time was（5.1±0.9） weeks.In control group,4 cases occurred with delayed healing and 1 case with nonunion,and the incidence rate was 10.0%.The healing time was（8.2±1.3） weeks,and there were a statistical difference in the incidence rate of poor healing and healing time between two groups（P〈0.05）. Conclusion Mini-plate for internal fixation treating metacarpophalangeal or voix pedis bone fracture obtains a good stability.The therapeutic effect was superior to that by Kirschner wire,which is worthy of promotion and application in clinic.
出处
《中国当代医药》
2016年第1期104-106,共3页
China Modern Medicine
关键词
掌指(足跖)骨骨折
微型钢板
克氏针
Metacarpophalangeal or voix pedis bone fracture
Mini-plate
Kirschner wire
