Effects of Locking Compression Hook Plate Internal Fixation on Fracture Healing, Weight Bearing Time and Foot Function in Patients with Fracture of the Fifth Metatarsal Base Region
Objective To analyze the effect of locking compression hook plate (LCHP) internal fixation on the fracture of the fifth metatarsal base region.Methods A total of 60 patients with fracture of the fifth metatarsal base region admitted to our hospital from February 2018 to July 2023 were selected as the study objects, and were divided into a control group and an observation group according to random number table method, with 30 cases in each group.The control group was treated with hollow screw internal fixation, the observation group was treated with LCHP internal fixation.The perioperative indexes, foot function, quality of life and complications were compared between the two groups.Results There was no significant difference in operation time between the two groups (P>0.05);in the observation group, the hospitalization time was (6.35±1.20)d, the fracture healing time was (12.58±1.69) weeks, and the complete weight-bearing time was (3.59±0.58)weeks, which were shorter than (8.71±1.59) d, (15.49±2.31) weeks, and (5.63±1.49) weeks in the control group, the incidence of complications was 6.67％, lower than 26.67％in control group, the differences between the groups were statistically significant (P<0.05).In the observation group, the ankle-posterior foot function score of the American Orthopaedic Foot and Ankle Society was (85.69 ±5.30) points, and the scores of all dimensions in the generic quality of life inventory-74 were (75.68 ±4.15) points, (76.83±4.89) points, (77.47±4.26) points and (79.53±5.49) points, respectively, which were higher than (74.53±4.21) points, (67.59±3.21) points, (68.49±4.15) points, (69.58±3.46) points and (71.66±4.48) points in the control group , and the differences between the groups were statistically significant (P<0.05).Conclusion LCHP internal fixation can accelerate fracture healing,improve foot function, improve quality of life and reduce complications in patients with fracture of the fifth metatarsal base region.
Locking pressure hook plate internal fixationQuality of lifeComplication
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