微型钢板内固定术和克氏针内固定术在手部骨折患者中的应用效果对比

Comparison of Effect of Microplate Internal Fixation and Kirschner Wire Internal Fixation in Patients with Hand Fractures

目的:对比分析微型钢板内固定术和克氏针内固定术在手部骨折患者中的应用效果。方法:选择2022年1月—2024年1月济宁任城海贝尔骨科医院收治的60例手部骨折患者为研究对象,按随机数字表法将其分为研究组和对照组,各30例。研究组应用微型钢板内固定术治疗,对照组应用克氏针内固定术治疗。对比两组功能恢复情况、临床指标、血清学指标、关节活动度、疼痛程度、生活能力及并发症发生情况。结果:研究组功能恢复优良率为96.67%,高于对照组的80.00%,差异有统计学意义(P<0.05)。手术、骨折愈合、首次功能锻炼及住院的时间均短于对照组,差异均有统计学意义(P<0.05)。术后3个月,研究组C反应蛋白、白细胞介素-6均低于对照组,骨钙素高于对照组,手部关节总活动度、生活能力评分均高于对照组,疼痛程度评分低于对照组,差异均有统计学意义(P<0.05)。研究组术后并发症发生率为3.33%,低于对照组的23.33%,差异有统计学意义(P<0.05)。结论:相比克氏针内固定术,微型钢板内固定术更有利于手部骨折患者术后手部功能康复,能够更好地改善血清学相关指标,降低患者疼痛程度并恢复生活能力,且具备较高的安全性。

Objective:To compare and analyze the effect of microplate internal fixation and kirschner wire internal fixation in patients with hand fracture.Methods:A total of 60 patients with hand fracture admitted to Jining Rencheng Haibel Orthopaedic Hospital from January 2022 to January 2024 were selected as the study objects.They were divided into a study group and a control group according to random number table method,with 30 cases in each group.The study group was treated with microplate internal fixation,the control group was treated with kirschner needle internal fixation.Functional recovery,clinical indexes,serological indexes,joint motion,pain,living ability and complications were compared between the two groups.Results:The excellent rate of functional recovery in the study group was 96.67%,which was higher than 80.00%in the control group,the difference was statistically significant(P<0.05).The time of operation,fracture healing,first functional exercise and hospitalization were shorter than those of control group,the difference was statistically significant(P<0.05).Three months after surgery,the C-reactive protein and Interleukin-6 in the study group were lower than those in the control group,the osteocalcin was higher than that in the control group,the hand joint total motion and life ability score were higher than those in the control group,and the score of pain degree was lower,with statistical significance(P<0.05).The incidence of postoperative complications in the study group was 3.33%,than that in the control group which was lower than 23.33%,the difference was statistically significant(P<0.05).Conclusion:Compared with kirschner wire internal fixation microplate internal fixation can benefit the postoperative rehabilitation of hand function,improve serological indicators,reduce pain degree and restore life ability of patients,this operation has a high safety.