用微型钢板与克氏针内固定治疗掌指骨骨折的临床疗效

Comparison of the Clinical Efficacy Between Mini-plate and Kirschner Wire Fixation in the Treatment of Metacarpal and Phalangeal Fracture

目的对比分析在掌指骨骨折治疗中,采用克氏针与微型钢板治疗的临床效果。方法选取该院行克氏针内固定治疗的患者20例,行微型钢板内固定治疗的患者26例,对两组患者各项指标、TAFS评估及外观满意度。结果采用微型钢板组患者住院时间(7.58±0.48)d,手术平均时间(94.01±3.72)min,骨折愈合时间(6.46±0.27)d,克氏针组住院时间(5.38±0.50)d,手术平均时间(35.91±1.76)min,骨折愈合时间(7.78±0.36)d;采用克氏针内固定治疗的患者优良率为70.00%,外观的满意率为85.00%;采用微型钢板治疗的患者其优良率达到了88.46%,外观的满意率为92.31%。结论微型钢板手术花费时间和住院时间较长,故若患者经济条件有限,则可采用克氏针内固定治疗,而针对外观要求较高的患者则建议采用微型钢板治疗。

Objective To compare and analyze the clinical efficacy between mini-plate and Kirschner wire fixation in the treatment of metacarpal and phalangeal fracture. Methods 20 patients underwent Kirschner wire fixation and 26 patients underwent mini-plate fixation in our hospital were selected. The indications, TAFS evaluation and the satisfaction with appearance of two groups of patients. Results The hospitalization time of the mini-plate group was（7.58±0.48）d, the average duration of operation was（94.01±3.72） min, the time of fracture healing was（6.46 ±0.27）d, and that of the Kirschner wire group was（5.38 ±0.50）d,（35.91±1.76）min,（7.78 ±0.36）d, respectively; the excellent and good rate of the patients treated by Kirschner wire fixation was70.00%, the rate of satisfaction with appearance was 85.00%, and that of the patients treated by mini-plate fixation was 88.46%,92.31%, respectively. Conclusion The operation time and hospitalization time of mini-plate operation are longer. Kirschner wire fixation can be given to the patients whose economic conditions are limited, and mini-plate fixation can be suggested to the patients who have the requirement for better appearance.