手法整复可调式外固定支具治疗第5掌骨颈骨折临床研究

目的:探讨可调式外固定支具治疗第5掌骨颈骨折的可行性及有效性。方法:选取2014年1月～2017年6月我院收治的54例第5掌骨颈骨折患者作为研究对象,随机分为A组和B组,每组27例。A组行闭合复位交叉克氏针固定,B组行手法整复可调式外固定支具固定,比较两组末次随访第5掌指关节活动度和主观满意度。结果:随访4～10个月,两组患者第5掌指关节活动度(ROM)值相比较,差异无统计学意义,P0.05;两组的主观满意度相比较,差异无统计学意义,P0.05。结论:手法整复可调式外固定支具固定可为第5掌骨颈骨折提供可靠、有效的固定,有助于患者的早期功能恢复,是一种有效的治疗方法。

Clinical study of manipulation reduction and adjustable external fixation in the treatment of the fifth metacarpal neck fracture

Objective to explore the treatment of the fifth metacarpal neck fracture with adjustable external fixation braces. Methods 54 patients of the fifth metacarpal neck fracture from January 2014 to June 2017 were randomly divided into two groups: A (n=27) B (n=27). Group A was treated with closed reduction and cross kirschner wire fixation; group B was treated with closed reduction adjustable external fixation braces. Results 54 patients were followed up for 4 to 10 (5.4±2.6) months. The ROM values of the fifth metacarpophalangeal joint of the two groups were compared, P > 0.05 has no statistically significant .The two groups were compared with each other in subjective satisfaction, p > 0.05, there was no significant difference in patients" subjective satisfaction after treatment .Conclusion adjustable external fixation braces can provide reliable, effective fixation and early functional recovery of the 5th metacarpal neck fracture, and can be used as an effective treatment method in clinical application.