两种方法治疗掌指骨骨折的疗效观察

目的　评估掌指骨骨折治疗方法的临床效果。方法　应用微型钢板和微型外固定器两种材料治疗掌指骨骨折 ,术后配合早期功能锻炼。结果　微型钢板治疗 4 8例 ,术后随访 3- 6月 ,所有病例骨折断端未见移位 ,无骨不愈合或关节僵直发生。X线片显示 ,骨折愈合时间 7- 12周 ,平均 8.5周。微型外固定器治疗 32例 ,术后随访 3- 6月 ,与健侧比较 ,伤指无明显畸形成角或旋转畸形。X线片显示 ,骨折愈合时间 8- 13周 ,平均 9周 ,无骨不愈合。结论　两种固定材料稳定性能良好 ,固定范围局限 ,不影响相邻关节活动 ,能满足术后早期手指功能锻炼要求

Effective analysis of two methods for fracture of the metacarpus and phalanges

Objectives To evaluate clinical results of the fracture of the metacarpus and phalanges treated by two methods.Methods The fracture of metacarpus and phalanges treated by micro-bone-plate and micro-external-fixator,Simultaneously,early exercise after operation.Results 48 cases treated by micro-bone-plate,Followed up 3-6 months after operation,no abnormal movement and nonunion and joint stiffness were found in all cases.Photograph shows that the fracture were healed from 7-12 weeks with average of 8.5 weeks,32 cases treated by micro-external-fixator,followed up 3-6 months postoperation,no distinct angulation and romation deformity were found.Photograph shows that the periods of the fracture is 8-13 weeks with average 9 weeks. Conclusions Two materials could provide a high stability and the adjancent joints could move freely.