可吸收棒与微型钢板治疗掌骨骨折的近远期疗效及掌指关节功能对比研究

Comparative study on the short-term and long-term effect and the function of metacarpophalangeal joint of absorbable rod and mini-plate in the treatment of metacarpal fracture

目的 研究对掌骨骨折的患者使用可吸收棒及微型钢板进行治疗,且观察治疗之后近远期疗效以及掌指关节的功能。方法 选择2005年9月至2017年9月入住本院的250例掌骨骨折的患者,以数字法随机分为观察组(125例患者)、对照组(125例患者),观察组的患者给予可吸收棒的治疗方法,对照组的患者给予微型钢板的治疗方法,观察并比较两组患者传统分级评定体位的评分、住院时间和骨性愈合的时间以及治疗的有效率。结果 患者治疗3个月及治疗6个月后,观察组治疗的有效率均高于对照组,差异有统计学意义(P<0.05)。观察组患者在0~1级的比例低于对照组,差异有统计学意义(P<0.05);2~4级两组患者人数差异不大,差异无统计学意义(P >0.05);但观察组患者在5级的人数比例多于对照组,差异有统计学意义(P<0.05)。两组患者的住院时间和掌骨骨折的愈合时间无明显差别,差异无统计学意义(P >0.05)。结论 使用可吸收棒治疗掌骨骨折的患者较好于微型钢板治疗,值得推广。

Objective To observe and compare the short-term and long-term effect and the function of metacarpophalangeal joint of absorbable rod and mini-plate in the treatment of metacarpal fracture.Methods 250 patients with metacarpal fractures admitted to our hospital from September 2005 to September 2017 were selected and were randomly divided into observation group(n=125)and control group(n=125)with digital methods.The patients in the observation group were treated with absorbable rod,while the patients in the control group were treated with mini-plate.The score of traditional grading assessment of body position,hospitalization time and bone healing time,and the effective rate of treatment were observed and compared.Results After 3 and 6 months of treatment,the treatment effective rate of the observation group was higher than that of the control group(P<0.05).The proportion of patients of grade 0-1 in the observation group was lower than that in the control group(P<0.05),there was no statistically significant difference in the proportion of patients of grade 2-4 between the two groups(P >0.05),but the proportion of patients of grade 5 in the observation group was higher than that in the control group(P<0.05).There were no statistically significant differences in hospitalization time and metacarpal fracture healing time between the two groups(P >0.05).Conclusion The treatment of metacarpal fracture with absorbable rod is better than that with mini plate,which is worth popularizing.