顺行髓内针治疗第五掌骨颈骨折的疗效观察  

Treatment outcomes of antegrade intramedullary pin fixation of fractures of the fifth metacarpal neck

作　　者：曹鹏[1] 王武[1] 韩小平[1] 崔泳[1] 

机构地区：[1]新疆医科大学第五附属医院骨科,乌鲁木齐830011

出　　处：《中华手外科杂志》2013年第5期257-259,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨有明显移位的第五掌骨颈骨折的手术方法和临床疗效。方法2008年6月至2011年6月，应用顺行髓内针内固定术治疗26例闭合性第五掌骨颈骨折的患者。结果所有患者术后随访6～9个月（平均7．5个月），骨折愈合后测得患侧头干角（15．3±1．9）°，健侧头干角（14．6±1．7）°，两组间比较差异无统计学意义（t=1．71，P=0．12）；术后患侧掌指关节（MCP）活动度范围（89．7±2．9）°，健侧掌指关节（MCP）活动度范围（90．7±1．5）°，两组间比较差异无统计学意义（t=1．83，P：0．10）。结论顺行髓内针内固定法治疗第五掌骨颈骨折，其效果可靠，值得推广。Objective To explore the surgical techniques for the fifth metacarpal neck fractures with obvious displacement and evaluate the clinical outcomes. Methods From June 2008 to June 2011, 26 cases of closed fractures of the fifth metacarpal neck were treated with antegrade intramedullary pin fLxation. Results All the patients were follow-up for 6 to 9 months （average, 7.5 months）. The head/shaft angle of the healed metacarpal V on the injured side was （ 15.3 ±1.9）°, while that of the uninjured side metacarpal V was （ 14.6 ±1.7）°. There was no significant difference between the two sides（ t = 1.71, P = 0.12）. The range of motion of the metacarpophalangeal （MCP） joint of the injured side was （89.7 ± 2.9）°, while that of the uninjured side was （90.7 ± 1.5）°, not being significantly different between the two sides （ t = 1.83, P = O. 10）. Conclusion Antegrade intramedullary pin fixation is an effective method for treating fractures of the fifth metacarpal neck.

关 键 词：掌骨 骨折固定术 髓内 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]