Therapeutic Effect of Intramedullary Needle Fixation and Nail Plate Fixation on the Fourth or(and)Fifth Metacarpal Neck Fracture
Objective:To compare the efficacy of intramedullary needle fixation and nail plate fixation in the treatment of fourth or(and)fifth metacarpal neck fracture.Methods:Retrospective collection of case data from 97 patients with fourth or(and)fifth metacarpal neck fractures in our hospital from December 2008 to December 2021,divided into two groups according to different surgical plans.The control group received nail plate fixation treatment,while the experimental group received intramedullary nail fixation treatment.The therapeutic effects of the two groups were compared.Results:The operative rate of the experimental group was 100%higher than that of the control group 84%(P<0.05).The VAS score of the experimental group was lower than that of the control group at 1 month and 3 months after operation(P<0.05).The blood loss in the experimental group was less than that in the control group,and the operation time and fracture healing time were shorter(P<0.05).The recovery rate of joint function in the experimental group was 92%higher than that in the control group(82%)(P<0.05).The serum OC content of the experimental group was higher than that of the control group at 1 month and 3 months after operation,and the serum β-CTX content was lower than that of the control group(P<0.05).Conclusions:Compared with nail plate fixation for patients with fourth or(and)fifth metacarpal neck fractures,intramedullary pin fixation is more advantageous in optimizing surgical indicators,promoting joint function recovery,improving hand function,alleviating pain,and promoting fracture healing.
intramedullary needle internal fixationbone metabolismnail plate fixationfracture of neck of metacarpal