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4种不同内固定方法治疗掌指骨骨折的疗效 被引量:22

Comparative study of the effects of four different inner fixation procedures on metacarpophalangeal fractures
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摘要 目的分析应用克氏针、螺钉、钢丝捆扎和微型钢板等4种内固定方法治疗掌指骨骨折的疗效。方法对220例321处掌指骨骨折,以不同的内固定物将其分为4组,各组从手术时间、术后关节功能恢复情况、骨折愈合时间、并发症的发生等方面进行分析比较。结果克氏针内固定组TAPS评分优良率为61.54%,螺钉内固定组为95.83%,钢丝捆扎内固定组为96.15%,AO微型钢反内固定组为78.85%。A组与B、C、D组比较,差异均有统计学意义(P<0.01)。结论对损伤程度不同的掌指骨骨折应分别选用不同的内固定物,掌指骨干纵裂性骨折患者可选用螺钉内固定,掌指骨干稳定性骨折患者可以选择钢丝捆扎内固定,其他类型的骨折尽量选用AO微型钢板,克氏针内固定应尽量少用。 Objective To comparatively analyze the effects of four different inner fixation procedures on metacarpal and phalangeal fractures with Kirschner wire,screws,wire binding and mini-plates respectively.Methods 220 cases of 321 metacarpal and phalanx fractures,within the implant were divided into four groups,each group from the surgery time,recovery of joint function,bone union time,complications were analyzed and compared.Results The rates of good TAPS scores were 61.54%,95.83%,96.15% and 78.85% in group with inner fixations of kireschner wire,screws,wire binding and mini-plates respectively.There was statistical difference among the four groups(P〈0.01).Conclusion Different fixation materials should be selected according to the severity of the fractures.Screws should be used on longitudinal metacarpophalangeal diaphasis fractures;wire binding should be used on stable metacarpophalangeal diaphasis fractures.The other kind of metacarpophalangeal fractures can be treated with AO mini-plates.Kirschner wire should be least used.
出处 《重庆医学》 CAS CSCD 北大核心 2011年第1期43-44,共2页 Chongqing medicine
关键词 掌骨 骨折 骨折固定术 内固定器 指骨损伤 metacarpus fractures fracture fixation innternal fixations phalangeal fracture
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