闭合交叉克氏针和微型钢板在指骨骨折治疗中的效果对比

Application efficacy of closed cross kirschner needle and miniature plate in the treatment of phalanx fracture

目的研究对比闭合交叉克氏针和微型钢板在指骨骨折治疗中的应用效果。方法选择指骨骨折患者100例,按骨折的固定方法分为闭合交叉克氏针组和微型钢板组,每组50例。比较两组患者术后TAFS功能评分;手术时间、骨折愈合时间、功能恢复时间;术后并发症发生率。结果术后微型钢板组的TAFS功能评分明显高于克氏针组(P<0.05);克氏针组手术时间明显短于微型钢板组(P<0.05);微型钢板组术后骨折愈合时间和功能恢复时间均显著短于克氏针组(P<0.05);术后微型钢板组的并发症发生率明显低于克氏针组(P<0.05)。结论微型钢板治疗指骨骨折效果优于闭合交叉克氏针,可更好地恢复关节功能、缩短骨折愈合和功能恢复时间、减少并发症,但微型钢板组与克氏针组相比存在手术时间较长的弊端。

Objective To explore and compare the application effect of closed cross kirschner needle and miniature plate in the treatment of phalanx fracture.Methods 100 cases of phalanx fracture patients admitted in our hospital were divided into closed cross kirschner needle group and miniature plate group according to the fixation method,50 cases in each group.TAFS score,operative time,fracture healing time,return to work time and postoperative complications were compared between the two groups.Results After operation,the excellent and good rate of TAFS score in the miniature plate group was significantly higher than that in closed cross kirschner needle group,and the difference between the two groups was significant(P<0.05).The operative time of closed cross kirschner needle group was significantly shorter than that of miniature plate group(P<0.05);the fracture healing time and return to work time of miniature plate group were significant shorter than that of closed cross kirschner needle group.The incidence of complications in miniplate group was significantly lower than that in closed cross kirschner needle group(P<0.05).Conclusion Miniature plate is better than closed cross kirschner needle in the treatment of phalanx fracture,which can better restore joint function,shorten fracture healing and return to work time,and reduce complications,but miniature plate has longer operation time.