闭合复位经皮克氏针治疗第一掌骨基底部骨折

Treatment Of Basilar Part Fractures Of The First Metacarpus With Close Reduction And Percutaneous K-Wirs Fixation

目的探讨应用闭合复位经皮克氏针治疗第一掌骨基底部骨折的临床效果。方法采用闭合复位经皮克氏针治疗第一掌骨基底部骨折20例,男12例,女8例;年龄18～55岁。结果术后随访2年,20例优13例,良6例,差1例,优良率95%;结论应用闭合复位经皮克氏针治疗第一掌骨基底部骨折,方法简单,损伤小,复位固定可靠,骨折愈合时间短,疗效满意。对患者的经济影响小,且可以在门诊治疗,适宜再基层医院推广。

Objective -To explore the effect of close reduction and percutaneous K-wirs fixation for treating the basilar part fracture of the first metacarpus. Methods Thirty patients with the with basilar part fracture of the first metacarpus were treated with close reduction and percutaneous K-wirs fixation. Results All patients were followed up 2 years. According to standard of TMA, 20 obtained excellent result, 13good, 6fair, the rate of excellent and good was 95%. Conclusion Treatment of basilar part fractures of the first metacarpus with close reduction and percutaneous K- wirs fixation can obtain satisfactory effect.