切开复位微型钢板内固定术治疗掌指关节周围部位创伤骨折患者的临床效果分析  

Clinical Effect of Open Reduction Microplate Internal Fixation in the Treatment of Patients with Traumatic Fractures Around Metacarpophalangeal Joints

作　　者：秦鸿雁 张强 曹斌 QIN Hongyan;ZHANG Qiang;CAO Bin(Department of Trauma Orthopedics,Shanting Chengde Orthopaedic Hospital,Zaozhuang 77200,China;Department of Orthopedics,Shanting Chengde Orthopaedic Hospital,Zaozhuang 77200,China;Department of Orthopedics No.4,Shanting Chengde Orthopaedic Hospital,Zaozhuang 77200,China)

机构地区：[1]山亭诚徳骨科医院创伤骨科,山东枣庄77200 [2]山亭诚徳骨科医院骨科,山东枣庄77200 [3]山亭诚徳骨科医院骨四科,山东枣庄77200

出　　处：《中国伤残医学》2024年第18期22-25,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨切开复位微型钢板内固定术治疗掌指关节周围部位创伤骨折患者的临床效果。方法:回顾性分析2021年3月-2023年6月收治的80例掌指关节周围部位创伤骨折患者的临床资料,按手术方案不同将患者分为对照组和研究组。对照组采用传统手术方法,研究组采用切开复位微型钢板内固定术。对比两组手术疗效、并发症发生情况、手术指标及骨代谢指标。结果:研究组患者手术总有效率为(97.50%)高于对照组的80.00%,差异有统计学意义(P<0.05)。研究组患者并发症总发生率为(2.50%)低于对照组的20.00%,差异有统计学意义(P<0.05)。研究组骨折愈合时间、手术时间、关节活动自如时间均短于对照组,差异均有统计学意义(P<0.05)。研究组核因子κB受体激活因子水平低于对照组,骨代谢相关因子、骨保护因子及骨钙素水平均高于对照组,差异均有统计学意义(P<0.05)。结论:切开复位微型钢板内固定术应用于掌指关节周围部位创伤骨折患者,可明显提升患者的手术治疗效果,降低并发生发生率,缩短患者的治疗及康复时间,改善骨代谢水平。Objective:To investigate the clinical effect of open reduction microplate internal fixation in patients with traumatic fractures around the metacarpophalangeal joint.Methods:The clinical data of 80 patients with traumatic fractures around the metacarpophalangeal joint admitted to Chengde Orthopaedic Hospital in Shanting from March 2021 to June 2023 were retrospectively analyzed,the patients were divided into a control group and a study group according to different surgical protocols,with 40 cases in each group.Traditional surgical methods were used in the control group,and internal fixation with open reduction microplate was used in the study group.The operative effect,complications,operative indexes and bone metabolism indexes were compared between the two groups.Results:The total effective rate of the study group was 97.50%,higher than that of the control group 80.00%,the difference was statistically significant(P<0.05).The total incidence of complications in the study group was 2.50%,which was lower than 20.00%in the control group,the difference was statistically significant(P<0.05).The fracture healing time,operation time and joint free movement time of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The levels of nuclear factorκB receptor activator in the study group were lower than those in the control group,and the levels of bone metabolism-related factors,bone protective factors and osteocalcin were higher than those in the control group,with statistical significance(P<0.05).Conclusion:The application of open reduction microplate internal fixation in the patients with traumatic fractures around the metacarpophalangeal joint can significantly improve the surgical treatment effect,reduce the incidence rate,shorten the treatment and rehabilitation time of patients,and improve the level of bone metabolism.Conclusion:The application of open reduction microplate internal fixation in patients with traumatic fractures around the metacarpopha

关 键 词：掌指关节周围部位创伤骨折 切开复位微型钢板内固定术 疗效 并发症 临床指标 

分 类 号：R683[医药卫生—骨科学]