微型钢板与螺钉内固定治疗掌指骨斜形骨折疗效观察

发布时间：2018-11-14 17:24

【摘要】：目的对比微型钢板固定与螺钉固定治疗掌指骨斜形骨折的临床疗效。方法选取2014年1月至2016年1月该院收治的90例掌指骨斜形骨折患者为研究对象,将患者采用随机数表法分为A组和B组,各45例。A组患者采用微型钢板内固定治疗,B组患者采用螺钉内固定治疗。对比两组患者的手术时间、骨折愈合时间、住院时间、恢复工作时间、手指关节总体活动度、握力相比健侧丢失度、指功能优良率。结果 A组患者的手术时间长于B组患者,恢复工作时间短于B组患者(P0.05)。两组患者的骨折愈合时间和住院时间差异无统计学意义(P0.05)。B组患者的手指关节总体活动度优于A组患者,握力相比健侧丢失度低于A组患者(P0.05)。A组和B组患者的TAFS(关节总活动度)评估结果分别为84.44%和97.78%(P0.05)。结论采用微型钢板内固定治疗掌指骨斜形骨折患者术后握力恢复较好,采用螺钉内固定治疗术后手指关节总体活动度、指功能较佳。
[Abstract]:Objective to compare the clinical effect of mini-plate fixation and screw fixation in the treatment of oblique metacarpal and phalangeal fractures. Methods from January 2014 to January 2016, 90 patients with oblique fracture of metacarpal and phalangeal bone were selected as study objects. Patients in group A were randomly divided into group A and group B. Group B was treated with screw fixation. The operative time, fracture healing time, hospitalization time, recovery working time, total movement of the knuckles, the degree of loss of grip strength compared with the healthy side, the excellent and good rate of finger function were compared between the two groups. Results the operation time of group A was longer than that of group B, and the working time of group A was shorter than that of group B (P0.05). There was no significant difference in fracture healing time and hospitalization time between the two groups (P0.05) the total motion of finger joint in). B group was better than that in A group. The degree of loss of grip was lower than that of group A (P0.05). The results of TAFS (total motion of joint) in group B and). A were 84.44% and 97.78% respectively (P0.05). Conclusion the postoperative grip strength of the patients with oblique metacarpophalangeal fracture treated by mini-plate internal fixation is better. The total movement of the finger joint is better and the finger function is better by screw internal fixation.
【作者单位】：石河子医学院第一附属医院骨二科;
【分类号】：R687.32

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