依靠2枚克氏针的动态外固定器与微型接骨板治疗掌指骨不稳定骨折的疗效比较  

Comparison of the Efficacy of Dynamic External Fixator with two Kirschner Wires and Mini Plate in the Treatment of Unstable Metacarpal and Phalangeal Fractures

作　　者：梅林军[1] 刘淦良 陈绵[1] 袁凯平[1] 谢广中[1] 谭珍莲[1] 雷芳金[1] Mei Linjun;Liu Ganliang;Chen Mian;Yuan Kaiping;Xie Guangzhong;Tan Zhenlian;Lei Fangjin(Department of Bone Orthopedics,The Houjie Hospital of Dongguan City,Dongguan 523945,China)

机构地区：[1]广东省东莞市厚街医院骨三科,广东东莞523945

出　　处：《哈尔滨医药》2022年第3期19-21,共3页Harbin Medical Journal

基　　金：东莞市社会科技发展(一般)项目(202050715023155)。

摘　　要：目的探讨依靠2枚克氏针的动态外固定器与微型接骨板治疗掌指骨不稳定骨折的疗效。方法选取60例掌指骨不稳定性骨折作为研究对象,微型接骨板组(30例)治疗采取微型接骨板内固定,动态外固定器组(30例)治疗采取2枚克氏针的动态外固定器固定,对比分析两组临床疗效、住院时间、手术时间等相关指标。结果动态外固定器组临床治疗优良率(93.34%)高于微型接骨板组(73.33%)(P<0.05)。动态外固定器组手术时间、住院时间、骨折愈合时间、开始功能锻炼时间低于微型接骨板组(P<0.05)。动态外固定器组并发症发生率(3.33%)低于微型接骨板组(20.00%)(P<0.05)。结论掌指骨不稳定骨折采取克氏针动态外固定器治疗效果更佳,能在较短时间内实现愈合,是一种安全性与推广应用价值高的治疗方案。Objective To investigate the effect of dynamic external fixator with two Kirschner wires and mini plate in the treatment of unstable metacarpal and phalangeal fractures.Methods 60 cases of metacarpal and phalangeal unstable fractures were selected as the research objects.The micro plate group(30 cases)was treated with micro plate internal fixation,and the dynamic external fixator group(30 cases)was treated with two Kirschner wire dynamic external fixator.The clinical efficacy,hospitalization time,operation time and other related indicators of the two groups were compared and analyzed.Results The excellent and good rate of dynamic external fixator group(93.34%)was higher than that of mini plate group(73.33%)(P<0.05).The operation time,hospital stay,fracture healing time and starting time of functional exercise in the dynamic external fixator group were lower than those in the mini plate group(P<0.05).The complication rate of dynamic external fixator group(3.33%)was lower than that of mini plate group(20.00%)(P<0.05).Conclusion The treatment of unstable metacarpal and phalangeal fractures with Kirschner wire dynamic external fixator has better effect and can achieve healing in a short time.It is a safe and valuable treatment scheme.

关 键 词：克氏针 动态外固定器 微型接骨板 掌指骨不稳定骨折 

分 类 号：R752.54[医药卫生—皮肤病学与性病学]