微型钢板与克氏针内固定治疗指骨骨折的疗效分析

目的比较微型钢板与克氏针内固定治疗指骨骨折的临床效果。方法选取作者医院骨科自2011-01/2012-09月指骨骨折患者86例,分别采用＂T＂型或直微型钢板固定（微型钢板）（钢板置于指骨背侧或侧方）（n=50）或克氏针固定（n=32）治疗,并对其进行随访12~14个月。（对肌腱损伤者均一期修复）术后对手术时间、住院时间、骨折愈合时间、手指总主动屈曲度（tatol active flexion,TAF）的评分标准进行样本评估分析。结果微型钢板组在骨折愈合时间、手指总主动屈曲度（tatol active flexion,TAF）方面优于克氏针组,有显著性差异（P〈0.05）;克氏针组在手术时间、术中出血、住院时间上有优势（P〈0.05）。结论微型钢板内固定治疗指骨骨折复位好、固定稳定,术后患指的屈伸功能显著改善。克氏针经济方便又可以在病人软组织条件差或经济条件较差的情况下提供良好的选择。

Effect of Mini-plate and K-wires on Phalange Fracture

Objective To analyse and compare the effect of Mini-plate and K-wires in the treatment of phalange fracture.Methods A total of 86 cases with phalange fracture in Wuhan General Hospital were recruited from January2011 to September 2012 and randomly divided into Mini-plate group（n=50）and crossing K-wires group（n=32）.The follow-up time ranged from12~14 months.The operation time,length of being in hospital,postoperative healing time,total range of motion of joint were recorded and analyzed.Results The postoperative healing time,total range of motion of joint in Mini-plate group were significantly superior to that in K-wires group（P〈0.05）.K-wires group were better in operation time and length of stay.Conclusion Compared to the crossing K-wires,internal fixation with mini-plate for the fracture could provide firm fixation and improve the total range of motion of joint.K-wires have the advantage in the cost and are specially suitable for patients with poor soft tissue condition or financial condition.