微型钢板螺钉内固定治疗跖骨骨折

【摘要】 目的 探讨微型钢板螺钉内固定治疗跖骨骨折的疗效。方法〓从2011年5月至2014年5月收治跖骨骨折病例26例,全部采用切开复位微型钢板螺钉内固定治疗。结果〓26例患者获得6~24个月(平均13个月)随访,骨折愈合时间10~16周(平均12周),术后平均14周(11~18周)时完全负重,站立及行走时无明显疼痛不适,均无内固定物松动和断裂。按美国足踝外科协会AFAS评分:95~100分13例,90~95分10例,85~90分3例。结论〓解剖复位可靠内固定是治疗跖骨骨折对位、对线不良的最佳选择及疗效的保证。微型钢板螺钉内固定治疗跖骨骨折可克服骨折端不能紧密接触,同时防止旋转畸形发生,给骨折愈合提供良好的条件。微型钢板螺钉内固定是治疗跖骨骨折的理想方法。

Analysis of the metatarsal fractures fixed by miniplate and screw

【Abstract】〓Objective〓To summarize our experience of the metatarsal fractures fixed by miniplate and screw. Methods〓Between May 2011 and May 2014, 26 patients with metatarsal fractures fixed by miniplate and screw. Results〓All the 26 patients were followed up from 6 to 24 months (an averase of 13 months). All the fractures united within 10 to 16 weeks postoperatively (a average of 12 weeks). The mean time of complete weight loading walking was 14 weeks(ranging from 11 to 18 weeks). All the patients experienced no foot pain when standing and walking. Also no loosening of internal fixation and fracture occurred in all patients. According to the scoring criteria by American Foot and Ankle Society(AFAS): 95~100(13 cases), 90~95(10 cases), 85~90(13 cases). Conclusion〓Anatomic reduction and stable internal fixation is the best solution for dislocated metatarsal fractures, as well as is associated with a better functional outcome. The metatarsal fractures fixed by miniplate and screw can make it anatomic reduction and close contact. It also can control rotation preventing deformity. So it can achieve satisfactory reduction and clinical outcomes. Metatarsal fractures fixed by miniplate and screw is the ideal way.