微型外固定架固定术与微型钢板置入内固定术治疗掌指骨骨折患者的效果比较  

Comparison of effects of mini-external fixator fixation and mini-plate internal fixation in treatment of patients with metacarpophalangeal fractures

作　　者：朱合宜 ZHU Heyi(Department of Orthopaedics of Shangcai Chongyang Hospital,Zhumadian 463800 Henan,China)

机构地区：[1]上蔡重阳医院骨科,河南驻马店463800

出　　处：《中国民康医学》2024年第11期132-135,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较微型外固定架固定术与微型钢板置入内固定术治疗掌指骨骨折患者的效果。方法:回顾性分析2020年5月至2023年5月该院收治的76例掌指骨骨折患者的临床资料,按照治疗方法的不同将其分为对照组(n=38)与观察组(n=38)。对照组行微型钢板置入内固定术治疗,观察组行微型外固定架固定术治疗。比较两组围术期指标水平、术后掌指关节功能优良率,手术前后关节活动度水平、上肢功能[上肢功能障碍评定量表(DASH)]评分、手指握力水平,以及并发症发生率。结果:观察组手术时间、骨折愈合时间、住院时间均短于对照组,差异有统计学意义(P<0.05);两组掌指关节功能优良率比较,差异无统计学意义(P>0.05);术后3个月,两组关节活动度、Jamar握力均大于术前,且观察组大于对照组,两组DASH评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:微型外固定架固定术治疗掌指骨骨折患者可提高关节活动度水平,降低围术期指标水平和DASH评分,其效果优于微型钢板置入内固定术治疗。Objective:To compare effects of mini-external fixator fixation and mini-plate internal fixation in treatment of patients with metacarpophalangeal fractures.Methods:The clinical data of 76 patients with metacarpophalangeal fractures admitted to this hospital from May 2020 to May 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group(n=38)and observation group(n=38).The control group was treated with mini-plate internal fixation,while the observation group was treated with mini-external fixation.The perioperative index levels,the excellent and good rate of postoperative metacarpophalangeal joint function,the joint range of motion levels before and after the surgery,the upper limb function[disabilities of the arm,shoulder,and hand(DASH)]score,the finger grip strength level,and the incidence of complications were compared between the two groups.Results:The operation time,the fracture healing time and the hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the excellent and good rate of metacarpophalangeal joint function between the two groups(P>0.05).Three months after the surgery,the joint range of motion and Jamar grip strength of the two groups were greater than those before the surgery,and those in the observation group were greater than those in the control group;the DASH scores of the two groups were lower than those before the surgery,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusions:Mini-external fixation in the treatment of metacarpophalangeal fractures can improve the levels of joint range of motion and reduce the levels of perioperative indexes and the DASH scores.Moreover,it is superior to mini-plat

关 键 词：掌指骨骨折 微型外固定架固定术 微型钢板置入内固定术 掌指关节功能 关节活动度 上肢功能 并发症 

分 类 号：R683.41[医药卫生—骨科学]