自制外固定架治疗多发跖趾骨头骨折的临床研究  

The clinical research of homemade external fixator in the treatment of multiple metatarsal and phalangeal head fractures

作　　者：刘永峰[1] 张宁[1] 李少连[1] 李新海 步婉莹 刘增兵[1] LIU Yong-feng;ZHANG Ning;LI Shao-lian;LI Xin-hai;BU Wan-ying;LIU Zeng-bing(Department of Orthopedics,the Fourth People′s Hospital of Hengshui,Hebei Province,Hengshui 053000,China)

机构地区：[1]河北省衡水市第四人民医院骨科,河北衡水053000

出　　处：《河北医科大学学报》2018年第2期160-163,共4页Journal of Hebei Medical University

基　　金：衡水市科技计划项目(15069)

摘　　要：目的观察自制外固定架治疗多发跖趾骨头骨折的临床效果。方法选取多发跖趾骨头骨折患者150例,随机分为外固定组(自制外固定架固定)和内固定组(常规切开复位内固定)各75例。比较2组手术疗效、足趾畸形和残端修整率以及术后并发症发生情况。结果所有患者均顺利完成手术,随访3~12个月。外固定组住院和骨折愈合时间明显短于内固定组,治疗费用低于内固定组,差异均有统计学意义(P<0.05)。2组手术时间差异无统计学意义(P>0.05)。外固定组临床疗效优于内固定组,优良率明显高于内固定组,畸形和残端修整率明显低于内固定组,差异均有统计学意义(P<0.05)。外固定组术后并发症发生率明显低于内固定组,差异有统计学意义(P<0.05)。结论自制外固定架治疗多发跖趾骨头骨折效果显著且安全性好。Objective To investigate the clinical effect of homemade external fixator in the treatment of multiple metatarsal and phalangeal head fractures.Methods A total of 150 cases patient with multiple metatarsal and phalangeal head fractures were selected.They were divided randomly into external fixation group(homemade external fixator fixation)and internal fixation group(conventional open reduction and internal fixation),each with 75 cases.The surgical effect,toe deformity,stump trimming rates and postoperative complications were compared.Results All the patients underwent the operation successfully,and were followed up for 3-12 months.The time of hospitalization and fracture healing in the external fixation group was significantly shorter than that in the internal fixation group,and the cost of treatment was lower than that in the internal fixation group.The difference was statistically significant(P<0.05).There were no significant statistical differences in operation time(P>0.05).The clinical efficacy for the external fixation group is superior to the internal fixation group,with significantly higher good rate and lower deformity and stump trimming rates.The differences were statistically significant(P<0.05).The postoperative complications in the external fixation group is significantly lower than that in the internal fixation group,and the difference was statistically significant(P<0.05).Conclusion Homemade external fixator has significant effect and higher safety in the treatment of multiple metatarsal and phalangeal head fractures.

关 键 词：骨折 跖骨 趾骨 外固定器 

分 类 号：R683[医药卫生—骨科学]