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骨折类型对掌骨骨折钢板内固定术后骨愈合的影响 被引量:8

Influence of fracture pattern on fracture healing after metacarpal plate fixation
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摘要 [目的]评价掌骨骨折类型、患者职业与骨折愈合的相关性。[方法]回顾性分析了104例掌骨关节外骨折,评价指标为愈合时间和愈合的并发症。与评价指标相关的因素为:骨折类型(横形骨折/非横形骨折)、患者类别、软组织损伤情况和钢板类型。[结果]12例患者发生了骨折愈合问题:横形骨折组8例,非横形骨折组4例,横形骨折比非横形骨折更易发生愈合困难(P=0.01)。两种骨折类型的患者中,手工劳动者比非手工劳动者更易发生骨折愈合的问题(P<0.01)。优势手骨折、软组织损伤和钢板的类别与骨折愈合问题没有相关性。[结论]掌骨骨折的愈合与骨折类型、患者职业有相关性。 [Objective] To evaluate the correlation among fracture patterns, patients'profession and consolidation problems of metacarpal fractures.[Method] Retrospective study on 104 extra-articular metacarpal fractures was carried out. The union period and presence of consolidation problems were correlated with fracture pattern ( transverse/non-transverse) ,presence of soft tissue injury, patients'profession and type of plate.[ Result] Twelve patients were found have experienced consolidations problems, in whom 8 patients were, within the transverse fracture pattern group and 4 patients were within the non-transverse fracture group. The difference was significant (P = 0.01 ). Manual workers were found to be more likely than non-manual workers to have consolidation problems ( P 〈 0.01 ) in both groups. There was no correlation between consolidation problems and hand dominance, soft tissue injury or type of plate. [ Conclusion] There was a significant correlation between fracture patterns, patients profession and consolidation problems.
出处 《中国矫形外科杂志》 CAS CSCD 北大核心 2005年第20期1532-1534,共3页 Orthopedic Journal of China
关键词 掌骨 骨折类型 愈合 钢板 掌骨骨折 骨愈合 内固定术后 横形骨折 软组织损伤 骨折愈合 Metacarpal Fracture pattern Fracture healing Plate
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参考文献11

  • 1唐康来,杨柳,许建中,吴梅英,李起鸿.微型钢板螺钉在掌指骨骨折治疗中的应用研究[J].中国矫形外科杂志,2002,9(1):23-25. 被引量:27
  • 2Berman KS, Rothkopf DM, Shufflebarger JV, et al. Internal fixation of phalangeal fractures using titanium miniplates [ J ]. Ann Plast Surg,1999,42(4) :408 -410.
  • 3Page SM,Stem PJ. Complication and range of motion following plate fixation of metacarpal and phalangeal fractures [ J ]. J Hand Surg 1998,23:827 - 832.
  • 4Stern PJ, Wieser M J, Reilly DG. Complication of plate fixation in the hand skeleton[ J]. Clin Orthop 1987,21g :59 -65.
  • 5Fusetti C, Meyer H, Borisch N, et al. Complication of plate fixation in metacaroal fractures[J]. J Trauma 2002,52(3) :535 -539.
  • 6Gonzalez MH, Igram CM, Hail RF. Flexible intramedullary nailing for metacarpal fractures [ J ]. J Hand Surg, 1995,20 : 382 - 387.
  • 7Faraj AA, Davis TR. Percutaneous intramedullary fixation of metacarpal shaft fractures [ J ]. J Hand Surg(Br) , 1999,24 ( 1 ) :76 - 79.
  • 8Schlageter M, Winkel R, Porcher R, et al. Intramedullary osteosynthesis of distal metacarpal fractures with curved wires [ J ]. Handchir Mikrochir Plast Chir, 1997,29(4) :197 -203.
  • 9Fusetti C, Della DR. Influence of fracture pattern on consolidation after metacarpal plate fixation [ J ]. Chirurgie Dela Main, 2004,23 : 32-36.
  • 10Prevel CD ,Eppley BL, Ge J. A comparative biomechanical analysis of resorbable rigid fixation versus titanium rigid fixation of metacarpal fractures[J]. Ann Plast Surg, 1996,37:377 -385.

二级参考文献8

  • 1[1]Schaefer M,Siebert HR.Finger and metacarpal fractures.Surgical and nonsurgical treatment procedures.I.[J].Unfallchirurg,2000,103(6):482~494.
  • 2[2]Schaefer M,Siebert HR.Finger and middle hand fractures.Surgical and nonsurgical treatment procedures.Ⅱ[J].Unfallchirurg,2000,103(7):582~592.
  • 3[3]Lu WW,Furumachi K,Ip WY,et al.Fixation for comminuted phalangeal fractures.A biomechanical study of five methods[J].J Hand Surg(Br),1996,21(6):765~767.
  • 4[4]Gonzalez MH,Hall RF.Intramedullary fixation of metacarpal and proximal phalangeal fractures of the hand[J].Clin Orthop,1996,46(327):47~54.
  • 5[5]Ouellette EA,Freeland AE.Use of the minicondylar plate in metacarpal and phalangeal fractures[J].Clin Orthop,1996,44(327):38~46.
  • 6[6]O′Sullivan ST,Limantzakis G,Kay SP.The role of low-profile titanium miniplates in emergency and elective hand surgery[J].J Hand Surg(Br),1999,24(3):347~349.
  • 7[7]Berman KS,Rothkopf DM,Shufflebarger JV,et al.Internal fixation of phalangeal fractures using titanium miniplates[J].Ann Plast Surg,1999,42(4):408~410.
  • 8[8]Pereira BP,Hui-King L,Murai M,et al.Comparison of the size of plates for fracture fixation with the size of phalanges and metacarpals in cadavers of Asian origin[J].J Hand Surg(Am),1998,23(1):142~149.

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同被引文献32

  • 1宫可同,阚世廉,鲁毅军,詹海华,张建兵.第一掌骨基底骨折的治疗方法与疗效分析[J].中华创伤骨科杂志,2005,7(2):118-120. 被引量:18
  • 2陈聚伍,谭洪宇,鲍恒,黄宗强.拇长屈肌腱断裂修复方法选择的探讨[J].中国矫形外科杂志,2005,13(18):1400-1401. 被引量:5
  • 3王晓东,潘勇卫.闭合复位克氏针内固定治疗第1掌骨基底骨折[J].解剖与临床,2007,12(2):127-128. 被引量:3
  • 4马宁,曾林如,郑文杰.掌骨骨折钢板内固定随诊37例分析[J].2009年浙江省骨科学术年会论文汇编,2009:26.
  • 5Kjaer-Petersen K, Jurik AG, Petersen LK. Intraarticular fractures at the base of the 5th metacarpal. A clinical and radiographical study of 64 cases[ J]. J Hand Surg, 1992,17 : 144 - 147.
  • 6Goedkoop AY, Onselen EB, Kafim RB, et al. The "mirrored' Bennett fracture of the base of the fifth metacarpal [ J ]. Arch Orthop Trauma Surg,2000,120:592 - 593.
  • 7Bushnell BD, Draeger RW, Crosby CG, et al. Management of intra-articular metacarpal base fractures of the second through fifth metacarpals[ J ]. J hand surg,2008 ,4 :573 - 583.
  • 8Dubert TP, Khalifa H. Stabilized arthroplasty" for old fracture dislocations of the fifth carpometacarpal joint techniques in hand [J].Upper Extremity Surg,2009,3 : 134 - 136.
  • 9Saing MH, Lee SY, James S. Raphael percutaneous pinning of fifth carpal - metacarpal fracture - dislocations : an ahernative pin trajectory [ J ]. Hand, 2008,3 : 251 - 256.
  • 10高士濂,主编.第2版,实用解剖图谱[M].上海:上海科学技术出版社,2004,268.

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