微型外支架联合交叉克氏针固定治疗第5掌骨远端骨折  

Treatment of distal fracture of the fifth metacarpal bone with micro external fixator combined with cross Kirschner wire fixation

作　　者：李先仙 付安安 顾欣亚 朱念松 白尚 LI Xianxian;FU Anan;GU Xinya(Department of Orthopedics,People's Hospital of Xuyi County,Jiangsu,Xuyi,211700,China)

机构地区：[1]盱眙县人民医院骨科,江苏盱眙211700

出　　处：《实用手外科杂志》2024年第2期239-241,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨微型外支架联合交叉克氏针固定治疗第5掌骨远端骨折的应用效果。方法对2020年1月-2022年1月在盱眙县人民医院接受治疗的30例第5掌骨远端骨折患者,均采用微型外支架联合交叉克氏针固定治疗,并统计术后功能优良率。结果30例术后均获得6个月完整随访,均未出现钉道感染及固定物松动,患手无疼痛、畸形,活动及肌力好,根据手指总主动活动度(TAM)评分标准评定手部功能:优26例,良4例。结论采用微型外支架联合交叉克氏针固定治疗第5掌骨远端骨折可取得满意的临床疗效,适宜临床推广使用。Objective To study the application effect of micro external fixator combined with cross Kirschner wire fixation in the treatment of distal fracture of the fifth metacarpal bone.Methods Thirty patients with distal fracture of the fifth metacarpal bone who received treatment at the People's Hospital of Xuyi County from January 2020 to January 2022 were selected,all the patients were treated with micro external fixator combined with cross Kirschner wire fixation.The excellent and good functional rates were statistically analyzed.Results All 30 patients received a complete follow-up of 6 months after surgery,and there was no nail infection or loosening of the fixation.The affected hand had no pain or deformity,and had good movement and muscle strength.According to the total active motion of the fingers(TAM)scoring standard,hand function was evaluated as excellent in 26 cases and good in 4 cases.Conclusion The use of micro external fixator combined with cross Kirschner wire fixation for the treatment of distal fracture of the fifth metacarpal bone can achieve satisfactory clinical efficacy and can be promoted as a suitable clinical technique.

关 键 词：第5掌骨远端骨折 微型外支架 克氏针 固定 

分 类 号：R687.3[医药卫生—骨科学]