跖跗关节损伤采用切开复位双重加压螺钉固定治疗的临床体会

Clinical Experience of Open Reduction and Double Compression Screw Fixation for Tarsometatarsal Joint Injury

目的研究切开复位双重加压螺钉固定治疗跖跗关节损伤的疗效。方法随机选择河南省宝丰县人民医院自2015年2月-2017年2月收治的108例跖跗关节损伤患者作为研究对象,根据固定治疗方式的不同将其分为A组和B组两组。其中A组患者50例,进行常规固定治疗,B组患者58例,进行切开复位双重加压螺钉固定治疗,比较两组患者的治疗效果。结果治疗后,B组患者的AOFAS评分显著高于A组,且B组住院时间显著短于A组;B组患者治疗效果为优的有26例,占比40.00%,与A组患者比较无显著差异;但B组治疗优良率显著高于A组;治疗后,B组患者术后并发症的总发生率为5.17%,显著低于A组的24.00%,差异显著(P<0.05)。结论切开复位双重螺钉固定治疗跖跗关节损伤的效果更好,可显著提高患者的AOFAS评分,缩短住院时间,降低术后并发症的发生率,安全性好,实用性较强,可临床应用。

Objective To study the curative effect of open reduction and double compression screw fixation on tarsometatarsal joint injury.Methods A total of 108 patients with tarsometatarsal joint injuries admitted to Baofeng County People's Hospital of Henan Province from February 2015 to February 2017 were randomLy selected as the research objects and divided into group A and group B according to different fixed treatment methods.Among them,50 patients in group A were treated with conventional fixation and 58 patients in group B were treated with open reduction and double compression screw fixation.The therapeutic effects of the two groups were compared.Results After treatment,the AOFAS score of group B was significantly higher than that of group A,and the hospitalization time of group B was significantly shorter than that of group A;26 patients (40.00%) in group B had excellent therapeutic effect,and there was no significant difference compared with group A.However,the excellent and good treatment rate in group B was significantly higher than that in group A;After treatment, the total incidence of postoperative complications in group B was 5.17%,significantly lower than 24.00% in group A,with significant difference (P < 0.05).Conclusion Open reduction and double screw fixation is more effective in the treatment of tarsometatarsal joint injury,which can significantly improve the AOFAS score of patients,shorten the hospitalization time, reduce the incidence of postoperative complications,has good safety and practicability,and can be applied clinically.