两种手术方法治疗Bennett骨折

目的：评价闭合复位经皮克氏针固定与微型钢板固定治疗Bennett骨折的临床疗效。方法2010年2月-2013年5月，对36例Bennett骨折患者采取闭合复位经皮克氏针固定和微型钢板内固定手术治疗，术后参照拇指腕掌关节功能评定标准进行疗效评定。结果本组优13例，良20例，可3例，优良率为91.7%，疗效满意。结论闭合复位经皮克氏针固定与微型钢板固定治疗临床效果均好，可有效降低术后关节疼痛、活动受限和创伤性关节炎的发生，是治疗Bennett骨折的有效方法。

Two different methods in treatment of Bennett fracture

Objective To evaluate the clinical outcomes of close reduction and percutaneous Kirschner wire fixation and open reduction and miniplate fixation in the treatment of Bennett fractures. Methods From Febrary 2010 to May 2013, 36 patients with Bennett fractures were treated with close reduction and percutaneous Kirschner wire fixation or open reduction and miniplate fixation. The clinical outcomes were assessed according to the articular function evaluation criteria. Results According to the articular function evalution criteria, the results were excellent in 13 patients, good in 20 patients, and fair in 3 patients. The excellent and good rate was 91.7%. Conclusion It has good clinical outcomes in the treatment of Bennett fractures by using both close reduction and percutaneous Kirschner wire fixation and open reduction and miniplate fixation.