微型钢板与克氏针置入内固定治疗掌指骨骨折的临床效果对比

Comparison of Clinical Effects of Internal Fixation with Mini Plate and Kirschner Wire in Treatment of Metacarpal and Phalangeal Fractures

目的：探讨微型钢板与克氏针置入内固定治疗掌指骨骨折的效果.方法：选择我院2016年2月～2017年1月收治的掌指骨骨折患者76例为研究对象,以随机数字表法分组,观察组与对照组各38例,观察组接受微型钢板置入内固定治疗,对照组接受克氏针置入内固定治疗,对2组患者手术时间、术后关节屈曲度及骨折愈合时间、并发症发生率等进行观察.结果：观察组手术时间较对照组长,骨折愈合时间较对照组短,术后关节屈曲度大于对照组,差异均有统计学意义（P＜0.05）;观察组患者术后关节僵硬、感染、延迟愈合、固定物不良反应等并发症发生率明显低于对照组,差异有统计学意义（p＜0.05）.结论：微型钢板置入内固定治疗掌指骨骨折,患者骨折愈合时间及关节曲屈度恢复优于克氏针内固定,且能降低术后并发症发生风险,具有更高推广价值.

Objective：To probe into the effects of internal fixation with mini plate and Kirschner wire in treatment of metacarpal and phalangeal fractures. Methods ： 76 cases of patients with metacarpal and phalangeal fracture and who treated in our hospital from February 2016 to January 2017 were selected as the research objects, and were grouped by the random number table method, the group A and group B, with 38 cases in each group. The A group were received mini internal plate fixation, while the B group were received the internal fixa-fion with Kirschner wire. Then, the operation time, postoperative joint flexion, fracture healing time and complication rate of two groups of patients were observed. Results： The operation time in the A group was shorter than that in the B group, and the fracture healing time was shorter than that in the B group, and the postoperative joint flexion was greater than that in the B group, the difference was statistically sig- nificant （P 〈 0.05） ;The incidence of complications after the operation such as joint stiffness, infection, delayed union and fixture ad- verse reaction in A group was lower than that in B group, and the difference was statistically significant （P 〈 0.05 ）. Conclusion： The mini plate internal fixation in treatment of metacarpal and phalangeal fracture, which the fracture healing time and restoration of joint cur- vature are better than that Kirschner wire fixation, and it can reduce the risk of postoperative complications, thus it has higher promotion Value.