首页|微型钢板内固定治疗掌指骨骨折的恢复效果与并发症情况评估

微型钢板内固定治疗掌指骨骨折的恢复效果与并发症情况评估

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目的 研究掌指骨骨折患者应用微型钢板内固定治疗的恢复效果及并发症发生情况.方法 便利选取2021年1月—2023年1月福建省东山县医院收治的56例掌指骨骨折患者为研究对象,按照随机数表法分为对照组和观察组,各28例.对照组应用克氏针内固定治疗,观察组应用微型钢板内固定治疗,比较两组治疗效果.结果 观察组掌指关节功能恢复优良率为 96.43%,高于对照组的 71.43%,差异有统计学意义(χ2= 4.766,P<0.05).观察组手术时间长于对照组,骨折愈合时间和功能锻炼开始时间短于对照组,差异有统计学意义(P均<0.05).观察组疼痛程度评分低于对照组,手指总主动屈曲度和生活质量评分高于对照组,差异有统计学意义(P均<0.05).观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 采取微型钢板内固定的方式治疗掌指骨骨折患者,可以显著提升恢复效果,该方法虽手术时间相对略长,但并发症更少,且疼痛症状较轻,有助于提升患者生活质量.
Evaluation of Recovery Effect and Complications of Metacarpal Phalan-geal Fractures Treated with Internal Fixation of Microplates
Objective To study the recovery effect and complication of metacarpal phalangeal fracture in patients with application of internal fixation with microplates.Methods 56 patients with metacarpal and phalangeal fractures admit-ted to Dongshan County Hospital of Fujian Province from January 2021 to January 2023 were conveniently selected as the study objects,and they were divided into control group and observation group according to random number table method,with 28 cases in each group.The control group was treated with Kirschler's needle internal fixation,and the observation group was treated with micro-plate internal fixation.The therapeutic effects of the two groups were compared.Results The recovery rate of metacarpophalangeal joint function in observation group was 96.43%,which was higher than that in control group(71.43%),and the difference was statistically significant(χ2=4.766,P<0.05).The operation time of the observation group was longer than that of the control group,the fracture healing time and the start time of functional exercise were shorter than those of the control group,and the differences were statisti-cally significant(all P<0.05).The pain degree scores of the observation group were lower than those of the control group,and the total active finger flexion and quality of life scores were higher than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The treat-ment of metacarpophalangeal fracture with micro-plate internal fixation can significantly improve the recovery effect.Although the operation time of this method is relatively longer,it has fewer complications and less pain symptoms,which helps to improve the quality of life of patients.

Metacarpal phalangeal fractureInternal fixation with microplatesComplicationsFunctional recovery rate

郑明东、陈明彦、高溪源

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福建省东山县医院,福建漳州 363400

掌指骨骨折 微型钢板内固定 并发症 功能恢复优良率

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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