首页|锁定加压钩钢板内固定术对第五跖骨基底区骨折患者的影响

锁定加压钩钢板内固定术对第五跖骨基底区骨折患者的影响

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目的:分析锁定加压钩钢板(LCHP)内固定术对第五跖骨基底区骨折患者的影响。方法:选取 2022年 1月—2023年 12月沂水县马站人民医院收治的 120例第五跖骨基底区骨折患者,按随机数字表法将其分为对照组与研究组,各60例。对照组采用空心螺钉内固定术,研究组采用LCHP内固定术。比较两组的手术相关指标、疼痛程度、足部功能、生活质量及并发症发生情况。结果:两组手术时间对比,差异无统计学意义(P>0。05);研究组住院时间及骨折愈合时间均短于对照组,差异均有统计学意义(P<0。05)。术后 3个月,研究组疼痛视觉模拟评分低于对照组,美国足踝外科学协会踝-后足功能评分及世界卫生组织生存质量测定简易量表内生理、心理、社会、环境评分均高于对照组,差异均有统计学意义(P<0。05)。研究组并发症发生率为 3。33%,低于对照组的 13。33%,差异有统计学意义(P<0。05)。结论:LCHP内固定术可减轻第五跖骨基底区骨折患者的术后疼痛程度,有利于骨折快速愈合,提升足部功能,改善生活质量,且并发症发生率较低。
Effect of Locking Compression Hook Plate Internal Fixation on 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 120 patients with fracture of the fifth metatarsal base area admitted to Ma Station People's Hospital of Yishui County from January 2022 to December 2023 were selected and divided into a control group and a study group according to random number table method,with 60 cases in each group.The control group underwent internal fixation with hollow screw,the study group underwent internal fixation with LCHP.The surgical indicators,pain degree,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).The hospitalization time and fracture healing time of the study group were shorter than those of the control group,the differences were statistically significant(P<0.05).Three months after surgery,the Pain Visual Analogue score of the study group was lower than that of the control group,and the ankle-posterior foot function score of the American Society for Foot and Ankle Surgery and the physiological,psychological,social and environmental scores of the World Health Organization Simple Scale of Quality of Life were higher than those of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 3.33%,lower than 13.33%in the control group,the difference was statistically significant(P<0.05).Conclusion:LCHP internal fixation can reduce postoperative pain in patients with fracture of the fifth metatarsal base region,facilitate rapid fracture healing,improve foot function,improve quality of life,and lower complication rate.

Fifth metatarsal base region fractureLocking pressure hook plate internal fixationQuality of lifeComplication

薛凤祥

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山东省沂水县马站人民医院骨科,山东 临沂 276000

第五跖骨基底区骨折 锁定加压钩钢板内固定术 生活质量 并发症

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)