克氏针和微型钢板内固定治疗不同节段掌指骨骨折疗效比较  被引量:16

Comparison of Efficacies for Different Segments of Metacarpal and Phalangeai Fractures Using Kirschner Wire Versus Mini-Plate Fixation

在线阅读下载全文

作  者:朱勇[1] 朱永林[1] 罗显德[1] 

机构地区:[1]广西壮族自治区柳州市中医院骨三科,广西柳州545001

出  处:《医学临床研究》2015年第7期1370-1372,共3页Journal of Clinical Research

摘  要:【目的】比较克氏针和微型钢板内固定治疗不同节段掌指骨骨折临床疗效。【方法】回顾性分析本院2010年2月至2013年9月收治的136例掌指骨骨折患者的临床资料。其中64例(82处)采用克氏针内固定方法(克氏针组),72例(93处)采用微型钢板内固定方法(微型钢板组),分别比较两种治疗方法对不同节段掌指骨骨折的疗效差异。【结果】克氏针组患者的疗效优良率为73.68%,显著低于微型钢板组的95.65%(P〈0.05)。针对不同节段掌指骨骨折,克氏针组近节指骨折患者的疗效优良率为81.48%,低于微型钢板组的87.50%,但二者差异无显著性(P〉o.05);克氏针组中节指骨折患者的疗效优良率为86.11%,显著的高于微型钢板组的63.16%(P〈0.05)。克氏针组患者掌骨骨折和近节指骨折愈合时间[(7.6±0.4)周和(7.8±0.5)周]显著高于微型钢板组患者[(6.1±0.5)周和(6.8±0.5)周],差异有统计学意义(P〈0.05),但两者中节指骨骨折的骨折愈合时间差异无显著性(P〉0.05)。两组患者的术后感染、骨延迟愈合率差异也无显著性(P〉0.05)。【结论】微型钢板内固定法适合治疗掌骨骨折,克氏针法适合治疗中节指骨骨折,两种方法对近节指骨折的治疗效果相近,但采用微型钢板内固定法可以缩短其骨折愈合时间。[Objective] To compare the clinical efficacies of internal fixation with Kirschner wire versus mini-plate for different segments of metacarpal fracture. [Methods] From February 2010 to Septemher 2013, the clinical data of 136 patient with metacarpal fracture were retrospectively collected. They were divided into two groups of Kirschner wire ( n 64) and mini-plate ( n = 72). Their efficacies were compared. [Results] The good rate in Kirschner wire group was significantly lower than that in mini-plate group (73.68% vs 95.65%, P〈0.05) ; the good rate was higher in mini-plate group than that in Kirschner wire group in the treatment of proximal phalanx fracture (87.50 % vs 81.48 % ). However, the difference was insignificant ( P 〉0.05). The good rate was higher in Kirschner group than that in micro-plate group in the treatment of middle phalanx (86.11% vs 63.16 %, P〈0.05). The mini-plate group was significantly lower than the Kirschner wire with regards to healing times of metacarpal and proximal phalanx fractures [ (7.6 ±0.4) vs (6. 1±0.5) weeks, (7.8±0.5) vs (6.8±0.5) weeks, P〈0.05]. Phalanx fracture healing time, postoperative infection or delayed bone healing rate had no significant inter-group difference ( P 〉0.05). [Conclusion] Mini-plate internal fixation is superior in the treatment of metacarpal fractures while Kirschner wire fares better for middle phalanx. And two treatments are similarly efficacious for proximal phalanx fracture.

关 键 词:骨螺丝 骨折固定术  掌骨/损伤 指损伤/外科学 

分 类 号:R683.418[医药卫生—骨科学]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象