手法复位结合经皮穿针内固定治疗跖、趾骨骨折的临床疗效  

Clinical effect of manual reduction and percutaneous pin fixation in the treatment of metatarsal and phalangeal fracture

作　　者：江克罗 张文正[1] 黎小艇 俆凌锋 张崇建[1] JIANG Keluo;ZHANG Wenzheng;LI Xiaoting(Department of Microsurgery, Taizhou Orthopedics Hospital, Wenling, Zhejiang, 317500, China)

机构地区：[1]台州骨伤医院手足显微外科,浙江温岭317500

出　　处：《实用手外科杂志》2019年第1期26-28,共3页Journal of Practical Hand Surgery

基　　金：浙江省温岭市科技基金项目(项目编号:2017C311139)

摘　　要：目的探讨正骨手法复位结合经皮穿针内固定术治疗跖、趾骨骨折的临床疗效。方法对2017年2月-2018年1月收治的26例跖、趾骨骨折患者的治疗方式进行回顾性分析,术后随访观察骨折愈合、并发症发生及足部功能恢复情况。结果所有患者均无明显并发症发生,术后足部功能对按照Maryland足功能评定标准评定,优22例,良2例,可2例,优良率92.3%。结论应用手法复位结合经皮穿针内固定治疗跖、趾骨骨折,具有手术时间短、损伤小、费用低廉,可最大限度恢复患者足部功能的优点,是一种简便、易行的手术方法,能够快速恢复足部功能,对生活及工作影响小,适合基层医院的开展。Objective To explore the clinical effect of manual reduction combined with percutaneous pin fixation for the ment of treat metatarsal and phalangeal fracture. Methods From February 2017 to January 2018, 26 cases with metatarsal and phalangeal fractures were retrospectively analyzed.Postoperative fracture healing, complications and foot function recovery were observed. Results No obvious complications occurred in all patients. Postoperative foot function was assessed according to the Maryland foot function assessment criteria. Excellent was in 22 cases, good was in 2 cases, fair was in 2 cases, and the excellent and good rate was 92.3%. Conclusion Manual reduction combined with percutaneous pin internal fixation for the treatment of metatarsal and phalangeal fracture has the advantages of short operation time, less injury and low cost, which can maximize the recovery of foot function of patients. It is a simple and easy operation method, which can quickly restore foot function and has little impact on life and work. It is suitable for the development of grass-roots hospitals.

关 键 词：跖骨 趾骨 骨折 手法 经皮内固定 

分 类 号：R687.3[医药卫生—骨科学]