双克氏针顺行髓内固定治疗第5掌骨颈骨折的效果观察  

Effect of double Kirschner wire antegrade intramedullary fixation in the treatment of fifth metacarpal neck fracture

作　　者：龚骏 邱传军 张跃林 

机构地区：[1]江西省上饶市立医院急诊外科,江西上饶334000 [2]江西省上饶市立医院骨科,江西上饶334000

出　　处：《中国当代医药》2018年第1期73-75,共3页China Modern Medicine

摘　　要：目的探讨双克氏针顺行髓内固定治疗第5掌骨颈骨折的效果。方法选取2014年6月~2016年6月我院接诊的60例第5掌骨颈骨折病患者,根据治疗方法不同分为观察组(33例)与对照组(27例)。观察组采用双克氏针顺行髓内固定,对照组采用微型髁钢板螺钉内固定,详细记录两组骨折患者的平均手术时间、骨折愈合时间及手功能恢复情况,并进行对比分析。结果观察组患者的平均手术时间为(19.0±3.1)min,短于对照组的(48.0±2.6)min,差异有统计学意义(P<0.05)。两组的骨折愈合时间比较,差异无统计学意义(P>0.05)。按TAM评分标准评定,两组患者术后的手功能恢复情况比较,差异无统计学意义(P>0.05)。结论采用克氏针法手术方法治疗第5掌骨颈骨折患者,对患者产生的创伤小、所需手术时间短,可促进患者术后早日康复,微型髁钢板螺钉内固定治疗粉碎性掌骨颈骨折效果更佳。Objective To investigate the effect of double Kirschner wire antegrade intramedullary fixation in the treat- ment of fifth metacarpal neck fractures.Methods 60 cases of fifth metacarpal neck fracture patients from June 2014 to June 2016 in our hospital were selected,according to different treatment methods,they were divided into the observation group （33 cases） and the control group （27 cases）,The observation group was treated with double Kirschner wire and an- tegrade intramedullary fixation,and the control group was treated with micro condylar plate and screw fixation.The aver- age operative time,fracture healing time and hand function recovery of the two groups of fracture patients were recorded and compared.Results The average operation time of the observation group was （19.0＋3.1）rain,which was shorter than that of the control group （[48.0±2.6]min）,and the difference between the two groups was significant （P〈0.05）.There was no significant difference in the time of fracture healing between the two groups （P〉0.05）.According to the TAM standard for evaluation aSsessment,there was no significant difference in the recovery of hand function between the two groups （P〉0.05）.Conclusion Using Kirschner needle operation method in the treatment of the fifth metacarpal neck fracture in patients has little trauma and short operative time for patients,it can promote early recovery of patients.Micro condyle plate and internal fixation is a better treatment for comminuted metacarpal neck fracture.

关 键 词：克氏针 微型髁钢板 第5掌骨颈骨折 效果 

分 类 号：R683.41[医药卫生—骨科学]