双根钛针髓内弹性固定治疗第5掌骨颈骨折的临床疗效探析  

Analysis of clinical effect of intramedullary elastic fixation with double titanium needles for the treatment of fifth metacarpal neck fracture

作　　者：程飞[1] 张镇 罗仲伟[1] 沈金虎[1] 杨六中[1] CHENG Fei;ZHANG Zhen;LUO Zhong-wei(Department of Orthopedics and Traumatology,Xuzhou City Hospital of TCM Affiliated to Nanjing University of Chinese Medicine,Xuzhou 221000,China)

机构地区：[1]南京中医药大学附属徐州市中医院骨伤科,221000

出　　处：《中国实用医药》2024年第4期64-66,共3页China Practical Medicine

基　　金：徐州市卫生健康委科技项目(项目编号:XWKYHT20200051)。

摘　　要：目的探讨双根钛针髓内弹性固定治疗第5掌骨颈骨折的临床疗效。方法回顾分析采用双根钛针髓内弹性固定治疗的20例第5掌骨颈骨折患者的资料,分别记录患者随访时间、手术时长、住院时间、骨折愈合时间、并发症、手部功能恢复情况。结果随访的20例患者中2例失访,随访时间6~13个月,平均7.55个月。手术时长15~28 min,平均21.30 min。住院时间3~7 d,平均4.85 d。18例骨折均愈合,愈合时间6~10周,平均8.10周。未见神经、肌腱损伤等并发症。末次随总主动活动度(TAM)系统评定功能:优14例,良3例,差1例,优良率为94.44%(17/18)。结论采用双根钛针髓内弹性固定治疗第5掌骨颈骨折,手术简便易操作、创伤小、固定可靠、手术时间和住院时间短、治疗费用低,可以早期功能锻炼、关节功能恢复好,是治疗第5掌骨颈骨折有效手段之一。Objective To investigate the clinical effect of intramedullary elastic fixation with double titanium needles for the treatment of fifth metacarpal neck fracture.Methods The data of 20 patients with fifth metacarpal neck fracture treated by intramedullary elastic fixation with double titanium needles were retrospectively analyzed,and the follow-up time,operation time,hospital stay,fracture healing time,complications,and hand function recovery of patients were recorded respectively.Results 2 of 20 patients were lost to follow-up,and the rest were followed up for 6-13 months,with an average of 7.55 months;the operation time was 15-28 min,with an average of 21.30 min;the length of hospital stay was 3-7 d,with an average of 4.85 d;the healing time of 18 cases was 6-10 weeks,with an average of 8.10 weeks.There were no complications such as nerve and tendon injury.The function was evaluated with total active movement(TAM)system at the last time:excellent in 14 cases,good in 3 cases and poor in 1 case,the excellent and good rate was 94.44%(17/18).Conclusion Intramedullary elastic fixation with double titanium needle is one of the effective methods for the treatment of the fifth metacarpal neck fracture,which is simple and easy to operate,and has less trauma,reliable fixation,short operation time and hospital stay,low treatment cost,early functional exercise and good joint function recovery.

关 键 词：双根钛针 髓内弹性固定 第5掌骨颈骨折 

分 类 号：R687.3[医药卫生—骨科学]