基于骨折块大小的空心拉力螺钉固定治疗Bennett骨折效果观察

发布时间：2018-08-12 21:03

【摘要】：目的观察基于骨折块大小的空心拉力螺钉固定治疗Bennett骨折的效果。方法以2014年3月~2015年10月在我院接受治疗的Bennett骨折患者为观察对象。根据其治疗方式分为经皮克氏针内固定组和空心拉力螺钉固定组,观察两组患者骨折愈合时间,手术前后VAS得分和腕关节功能的差异。结果两组患者骨折愈合时间无明显差别,而空心拉力螺钉固定组患者术后VAS得分明显低于克氏针内固定组,差异具有统计学意义(P0.05);两组患者治疗前腕关节屈伸活动、尺桡偏活动、旋前旋后活动、平均握力和平均捏力与健侧百分比无明显差别,治疗后,两组患者的上述指标均较治疗前增高,且空心拉力螺钉固定组增高更明显(P0.05);两组患者治疗前腕关节功能评分无明显差别,治疗后,两组患者的腕关节功能评分均增高,且空心拉力螺钉固定组增高更明显(P0.05)。结论基于骨折块大小的空心拉力螺钉固定对Bennett骨折有较好的治疗效果,可明显改善患者的腕关节功能。
[Abstract]:Objective to observe the effect of hollow lag screw fixation on Bennett fracture. Methods Bennett fracture patients who were treated in our hospital from March 2014 to October 2015 were studied. According to the treatment method, the patients were divided into two groups: percutaneous Kirschner needle fixation group and hollow lag screw group. The fracture healing time, VAS score and wrist function were observed before and after operation. Results there was no significant difference in fracture healing time between the two groups, but the VAS score in the hollow lag screw fixation group was significantly lower than that in the Kirschner needle fixation group (P0.05). There was no significant difference between the radial deviation of ulnar movement, pronation and pronation, the average grip strength and the percentage of the contralateral side. After treatment, the above indexes in the two groups were higher than those before treatment. The carpal function score of the two groups before treatment was not significant difference, after treatment, the wrist function score of the two groups were increased, and the increase of the hollow lag screw fixation group was more obvious (P0.05). Conclusion Hollow pull screw fixation based on the size of fracture block has a good therapeutic effect on Bennett fracture and can obviously improve the wrist joint function of the patients.
【作者单位】：徐州市第三人民医院;
【分类号】：R687.3

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