摘要
目的:评价掌骨颈骨折使用弹性髓内针的临床疗效。方法:C臂机辅助下,对20例新鲜闭合性掌骨颈骨折采用术中手法复位、顺行植入弹性髓内针固定骨折,并对其临床疗效进行评价。结果:术后随访1-6个月,使用弹性髓内钉病例19例达解剖复位,1例达功能复位,骨折愈合周期6-12周,平均8周,患者均未出现髓内针断裂或进入关节等情况。术后6个月随访时,患侧掌指关节活动度为89.25°±2.54°,与健侧90.10°±2.27°比较,差异无统计学意义(t=1.623,P=0.182),掌指关节功能恢复达优良。结论:新鲜闭合性掌骨颈骨折使用弹性髓内针内固定具有较好的临床疗效。该手术具有微创、简便、经济、术后康复快等优点,是理想的治疗新鲜掌骨颈骨折的手术新方式,临床值得推广应用。
Objective:To investigate the effect of minimally invasive elastic intramedullary needle in the treatment of metacarpal neck fracture.Methods:With C-arm machine assistance,20 cases of fresh closed metacarpal neck fractures were treated with intraoperative manual reduction and antegrade implantation of elastic intramedullary needles to fix fractures,and their clinical efficacy was evaluated.Results:During the follow-up period of 1 to 6 months,19 cases of flexible intramedullary nails were used for anatomical reduction and 1 for functional reduction.The fracture healing period was 6 to 12 weeks,with an average of 8 weeks.None of the patients had intramedullary needle breakage or entered the joint And so on.At the 6-month follow-up,the metacarpophalangeal joint motion of the affected side was(89.25°±2.54°),and there was no significant difference compared with the healthy side(90.10°±2.27°)(t=1.623,P=0.182),Metacarpophalangeal joint function recovery is excellent.Conclusion:Fresh closed metacarpal neck fracture with elastic intramedullary needle internal fixation has a better clinical effect.The operation has the advantages of minimally invasive,simple,economical,and quick recovery after surgery.
作者
李楚炎
李文庆
朱小弟
姚海波
张国雷
陈民
LI Chu-yan;LI Wen-qing;ZHU Xiao-di(Xiehe Shenzhen hospital of Huazhong university of science and technology,Shenzhen,Guangdong 518052)
出处
《中国伤残医学》
2020年第15期5-8,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
掌骨颈骨折
内固定术
髓内针
微创
Metacarpal neck fracture
Internal fixation
Intramedullary needle
Minimally invasive
