| 康 恒,白平勇.微型钢板与克氏针内固定治疗掌指骨开放性骨折疗效对比分析[J].中国烧伤创疡杂志,2023,(4):290~293. |
| DOI： |
| 中文关键词: 克氏针 微型钢板 内固定 掌指骨骨折 开放性骨折 掌指关节活动度 |
| 英文关键词:Kirschner wire Mini-plate Internal fixation Metacarpal and phalangeal fracture Open fracture Range of motion of the metacarpophalangeal joints |
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| 中文摘要: |
| 【摘要】 目的 对比分析微型钢板内固定与克氏针内固定治疗掌指骨开放性骨折的临床疗效。 方法 选取2019 年 6 月至 2021 年 3 月通许第一医院收治的 82 例掌指骨开放性骨折患者作为研究对象, 按照不同手术方法将其分为微型钢板组 (41 例) 与克氏针组 (41 例), 微型钢板组患者采用微型钢板内固定治疗, 克氏针组患者采用克氏针内固定治疗, 对比观察两组患者手术时间、住院时间、骨折愈合时间以及患侧掌指关节屈曲活动度、握力相比健侧丢失度、临床疗效与并发症发生情况。 结果 微型钢板组患者手术时间明显长于克氏针组 (t =7.173, P <0.001), 住院时间及骨折愈合时间均明显短于克氏针组 (t = 5.332、3.926, P 均 < 0.001), 术后 1?3 个月患侧掌指关节屈曲活动度明显大于克氏针组 (t =8.015、8.804, P 均 <0.001)、握力相比健侧丢失度明显小于克氏针组 (t =7.957、5.264, P 均 <0.001), 术后 3 个月患侧手功能恢复优良率明显高于克氏针组 (χ 2 =3.998, P =0.046), 而术后并发症发生率与克氏针组无明显差异 (χ 2 =0.213, P =0.644)。 结论 与克氏针内固定相比, 微型钢板内固定能明显缩短掌指骨开放性骨折患者住院时间及骨折愈合时间, 提高手功能恢复效果。 |
| 英文摘要: |
| 【Abstract】 Objective To compare the clinical efficacy of mini-plate internal fixation and Kirschner wire (K-wire) internal fixation in the treatment of open metacarpal and phalangeal fracture. Methods 82 patients with open metacarpal and phalangeal fracture admitted into Tongxu First Hospital between June 2019 and March 2021 were enrolled as research subjects, and divided into mini-plate group (n =41) and K-wire group (n =41) based on different surgical proce-dures they received. Patients in the mini-plate group were treated with mini-plate internal fixation, while patients were treated with K-wire internal fixation in the K-wire group. The following indexes were compared between the two groups, including operation time, length of stay, fracture healing time, flexion range of the metacarpophalangeal joints of the affected side, loss of grip strength of the affected side compared with the unaffected side, clinical efficacy and occurrence of complications. Results The operation time of patients in the mini-plate group was obviously longer than that in the K-wire group (t =7.173, P <0.001), and the length of stay and fracture healing time of patients were markedly shorter in the mini-plate group (t =5.332 and 3.926, both P <0.001). Respectively at one and three months after operation, the flexion ranges ofthe metacarpophalangeal joints of the affected side were significantly larger (t =8.015 and 8.804, both P <0.001) and the losses of grip strength of the affected side compared with the unaffected side were obviously less (t =7.957 and 5.264, both P <0.001) in the mini-plate group compared with the K-wire group. At three months after operation, the excellent and good
rate of functional recovery of the affected hand of patients was obviously higher in the mini-plate group (χ 2 = 3.998, P =0.046), and there was no statistically significant difference between the two groups in terms of the incidence of complications after operation (χ 2 = 0.213, P = 0.644). Conclusion Compared with the K-wire internal fixation, the mini-plate internal fixation can significantly shorten the length of stay and fracture healing time of patients with open metacarpal and phalangeal fracture, and improve the functional recovery of the affected hand. |
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