改良手法复位结合石膏外固定术治疗Bennett骨折36例
Treatment of 36 cases of Bennett fracture by modified manual reduction combined with plaster external fixation
周麒 1周立阳 1谢心军2
作者信息
- 1. 汨罗市人民医院骨科,湖南汨罗 414402
- 2. 湖南中医药大学第一附属医院手外创伤科,湖南长沙 410007
- 折叠
摘要
目的 观察改良手法复位结合石膏外固定术治疗Bennett骨折的临床疗效.方法 回顾性分析2017年6月-2022年10月在本院骨关节外科收治的36例Bennett骨折患者的临床资料,无麻醉情况下采用改良手法复位结合石膏外固定术治疗,术后通过随访对比患侧与健侧第1腕掌关节屈伸ROM、拇指外展ROM及握力情况,采用疼痛视觉模拟评分评估疼痛情况,并统计有无出现不良情况.结果 末次随访VAS评分为(0.22±0.07)分,无石膏断裂、脱落等不良情况,第1腕掌关节屈伸ROM、拇指外展ROM及握力情况与健侧对比,差异显示无统计学意义(P＞0.05).结论 改良手法复位结合石膏外固定术治疗Bennett骨折简单经济、疗效明显,值得推广.
Abstract
Objective To observe the clinical effect of manual reduction combined with plaster external fixation on the treatment of Bennett fracture.Methods From June 2017 to October 2022,36 patients with Bennett fracture in Department of Bone and Joint Surgery of our hospital were retrospectively analyzed.They were treated with manual reduction combined with plaster external fixation without anesthesia.Postoperative follow-up was performed to compare the flexion and extension ROM of the first carpometacarpal joint,thumb abduction ROM,and grip strength of the affected side and the healthy side.Visual analogue score was used to evaluate the pain,and whether there were any adverse conditions was counted.Results At the last follow-up,the VAS score was(0.22±0.07),and there were no adverse conditions such as cast fracture and detachment.The flexion and extension ROM of the first carpometacarpal joint,thumb abduction ROM,and grip strength were compared with those of the healthy side,and the differences were not statistically significant(P＞0.05).Conclusion Manual reduction combined with plaster external fixation for the treatment of the first metacarpal base fracture is simple,economical,effective and worthy of promotion.
关键词
手法复位/石膏外固定术/Bennett骨折Key words
Manual reduction/Plaster external fixation/Bennett fracture引用本文复制引用
基金项目
湖南省中医药科研项目(2021213)
湖南省卫生健康委科研项目(202104071648)
出版年
2024
NETL
NSTL
万方数据