微型钢板与克氏针治疗掌指骨骨折的疗效对比分析

目的：探讨应用微型钢板及克氏针治疗各种掌指骨骨折的不同疗效。方法：47例（62处）掌指骨骨折。其中开放性骨折19例（24处），闭合性骨折28例（38处），合并严重软组织损伤或肌腱损伤10例（13处）。分为微型钢板固定组27例（34处）及克氏针组20例（28处）。采取伤口清创，微型解剖钢板螺丝钉系统内固定术及克氏针治疗。对比其疗效。结果：全部病例骨性愈合，以TAM为评定标准，微型钢板组中优为20例，良10例，优良率为88．2％。克氏针组中优为12例，良7例，优良率为67．8％。结论：在掌握好适应证的前提下，使用微型钢板切开复位内固定治疗各种类型的掌指骨骨折术后骨折愈合时间、关节功能的恢复程度及伤口感染情况明显优于克氏针组。

Therapeutic evaluation of metacarpal and phalangeal fractures treated with miniature plates vs kirschner wire

Objective:The purpose of this study was to evaluate clinical results for open reduction and internal fixation of metacarpal and phalangeal fractures using miniature plates vs Kirsehner wire.Methods:47 eases (62 metacarpal and pha-langeal fractures) were treated. The follow-up periods was 3 months to 14 months. Results: all the fractures have recov-ered In the plates group, the final range of total active motion (TAM) was excellent for 20, good for 10, the total rate was 88.2%. And in the kirsehner wire group, it was excellent for 12, good for 7, the total rate was 67.8%. Conclusion: To e-valuate the most common aspects, such as the union of fracture, anastate of joint function and wound infection, we find that it is satisfying that treatment of metacarpal and phalangeal fractures with miniature plates than kirsehner wire.