克氏针与微型钢板置入内固定治疗掌指骨骨折疗效比较  

A comparative study on Kirschner wire and mini plate fixation in treatment of metacarpal and phalangeal fractures

作　　者：黎润超[1] 熊秉刚[1] 黎明华[1] 

机构地区：[1]东莞市石龙人民医院手足外科,广东东莞523320

出　　处：《临床和实验医学杂志》2012年第10期766-767,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的了解克氏针与微型钢板置入内固定治疗掌指骨骨折的治疗效果。方法对照组(克氏针内固定)掌指骨骨折23例(26处),术后随访时间均>1年;实验组(微型钢板置入内固定)掌指骨骨折25例(28处),术后随访3个月至1年,平均为5.1个月。以TAFS评分标准对治疗效果进行评价。结果实验组的治疗效果的优良率(85.7%)高于对照组(76.9%)(χ2=10.121,P<0.05);实验组17处开放性骨折中2处继发手术后感染,对照组19处开放性骨折中3处继发手术后感染。骨折愈合时间:实验组为3.5～6.5周,平均5.0周;对照组6.4～9.6周,平均7.7周,2处愈合效果不理想。结论从手术后患者的疗效、感染率、康复时间来评价,用微型钢板置入内固定治疗掌指骨骨折相对于用克氏针内固定治疗,优势更为明显。Objective To explore the effect of treatment of metacarpal and phalangeal fractures with Kirschner wire（control group） and mini-plate fixation（trial group）.Methods Twenty three patients（26 localities） with metacarpal and phalangeal fractures in control group were followed-up for more than 1 year;and 25 patients（28 localities） with metacarpal and phalangeal fractures in trial group were followed-up for 3 months to 1 year（with average of 5.1 months）.Their therapeutic effects were evaluated with TAFS scoring criteria.Results The rate of excellence and good in therapeutic effect（85.7%） was higher than that（76.9%） of control group（χ2=10.121,P0.05）.Seventeen patients with open fractures in trial group got secondary infection in 2 localities after operation,and 19 patients with open fractures in control group got secondary infection in 3 localities after operation.The duration for healing of fractures in trial group was 3.5~6.5 weeks with an average of 5 weeks.The duration for healing of fractures in control group was 6.4~9.6 weeks with an average of 7.7 weeks.The healing effect for fractures in 2 localities was not ideal.Conclusion The efficacy,infection rate and recovery time for treatment of metacarpal and phalangeal fractures with mini plate fixation was much better than those by internal fixation with Kirschner wire.

关 键 词：掌指骨骨折 克氏针 微型钢板 

分 类 号：R687.3[医药卫生—骨科学]