Effect of Kirschner Wire and Microplate Internal Fixation in Patients with Metacarpophalangeal Fractures
Objective To analyze the effect of Kirschner wire and microplate internal fixation in patients with metacar-pophalangeal fractures.Methods 126 patients with metacarpophalangeal fractures admitted to the hospital from August 2019 to August 2022 were selected as the study objects and were divided into a control group and observation group according to random number table method,with 63 cases in each group.The control group underwent Kirschner wire internal fixation,and the observation group underwent microplate internal fixation,both of which were observed until 3 months after operation.The perioperative indexes,the range of motion of the knuckles,the recovery of hand function and the occurrence of complications were compared between the two groups.Results The operation time of the observation group was(39.48±2.84)min,which was longer than(30.25±2.47)min of the control group,while the fracture healing time and hospitalization time were(5.23±1.26)weeks and(5.49±0.90)d,respectively,which were shorter than(7.15±1.84)weeks and(7.52±1.36)d in the control group,and the differences between the groups were statistically significant(P﹤0.05).After operation,the total active motion score in the observation group was(2.84±0.53)points,which was higher than(1.72±0.40)points in the control group,and the difference was statistically significant(P﹤0.05).The excellent and good rate of hand function recovery in the observation group was 95.24%,higher than 84.13% in the control group,and the difference was statistically significant(P﹤0.05).The incidence of complications in the observation group was 3.17%,lower than 12.70% in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Microplate internal fixation in patients with metacarpophalangeal fractures is more conducive to fracture healing,better improve the range of motion of the knuckle and hand function,has fewer complications and high application value,which is worthy of clinical promotion.
Metacarpophalangeal fracturesKirschner wire internal fixationMicroplate internal fixationJoint range of motionComplication
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