改良克氏针交叉内固定与传统克氏针交叉内固定治疗指骨骨折的疗效比较
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摘要
目的:对比分析改良克氏针交叉内固定与传统克氏针交叉内固定治疗指骨骨折的临床疗效。方法:回顾性分析2015年8月至2017年8月我院收治的指骨骨折46例,采用改良克氏针交叉内固定术或传统克氏针交叉内固定术进行治疗。其中改良手术方法组(改良组) 25例,传统手术方法组(传统组) 21例,术后在医师指导下进行康复功能锻炼。通过观察手术时间、骨折愈合时间以及手指总主动屈曲度(TAFS)评分,对两种手术方法的临床疗效进行评价。结果:术后随访12～24个月,平均16.7个月。传统组手术失败2例,进入结果分析19例,改良组25例全部进入结果分析。结果显示,改良组手术时间明显短于传统组,两组在手术时间上差异有显著性意义(P<0.05),两组在骨折愈合时间以及TAFS评分差异无显著性意义(P>0.05)。结论:对于闭合性近、中节指骨A型骨折的治疗,改良克氏针交叉内固定术较传统克氏针交叉内固定术具有明显优势。
Objective:To compare the clinical efficacy of modified Kirschner wire internal fixation with traditional Kirschner wire internal fixation for the treatment of phalangeal fractures.Methods:A retrospective analysis of 46 cases of phalangeal fractures admitted to our hospital from August 2015 to August 2017 was performed with modified Kirschner wire internal fixation or traditional Kirschner wire internal fixation.Among them,25 patients underwent modified surgical method group(improved group) and 21 patients underwent traditional surgical method group(traditional group).The clinical efficacy of the two surgical methods was evaluated by observing the operation time,fracture healing time,and total finger active flexion(TAFS) score.Results:All patients were followed up for 12 to 24 months with an average of 16.7 months.In the traditional group,there were 2 cases of surgical failure,19 cases of the result analysis,and 25 cases of the improved group all entered the result analysis.The results showed that the operation time of the improved group was significantly shorter than that of the traditional group.There was significant difference in the operation time between the two groups(P < 0.05).There was no significant difference in the fracture healing time and TAFS score between the two groups(P >0.05).Conclusion In treating the phalangeal fractures,modified closed reduction percutaneous K-wire cross-fixation is better than traditional method.Conclusion:For the treatment of closed proximal and middle phalanx A fractures,modified Kirschner wire internal fixation has obvious advantages over traditional Kirschner wire internal fixation.
Objective:To compare the clinical efficacy of modified Kirschner wire internal fixation with traditional Kirschner wire internal fixation for the treatment of phalangeal fractures.Methods:A retrospective analysis of 46 cases of phalangeal fractures admitted to our hospital from August 2015 to August 2017 was performed with modified Kirschner wire internal fixation or traditional Kirschner wire internal fixation.Among them,25 patients underwent modified surgical method group(improved group) and 21 patients underwent traditional surgical method group(traditional group).The clinical efficacy of the two surgical methods was evaluated by observing the operation time,fracture healing time,and total finger active flexion(TAFS) score.Results:All patients were followed up for 12 to 24 months with an average of 16.7 months.In the traditional group,there were 2 cases of surgical failure,19 cases of the result analysis,and 25 cases of the improved group all entered the result analysis.The results showed that the operation time of the improved group was significantly shorter than that of the traditional group.There was significant difference in the operation time between the two groups(P < 0.05).There was no significant difference in the fracture healing time and TAFS score between the two groups(P >0.05).Conclusion In treating the phalangeal fractures,modified closed reduction percutaneous K-wire cross-fixation is better than traditional method.Conclusion:For the treatment of closed proximal and middle phalanx A fractures,modified Kirschner wire internal fixation has obvious advantages over traditional Kirschner wire internal fixation.
引文
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[4]贺光辉.微型钢板与克氏针治疗掌指骨骨折的疗效对比分析[J].中国现代药物应用,2010,4(10):43~44.
[5]张志宇.手指骨折钢板内固定术后并发鹅颈畸形11例报告[J].实用手外科杂志,2012,4(2):82~83.
[6]胡洪涌,韩同坤,阳闽军,等.克氏针与微型钢板置入内固定治疗掌指骨骨折的比较[J].中国组织工程研究与临床康复,2011,15(26):4880~4884.
[2]Thomas BP,Sreekanth R,Pallapati SC.Open proximal phalangeal shaft fractures of the hand treated by theta fixation[J].Indian Orthop,2015,49(3):312~316.
[3]付世杰,孙勃,王培,等.闭合复位克氏针交叉内固定治疗中节指骨A2.3型骨折[J].中华手外科杂志,2016,32(6):473~474.
[4]贺光辉.微型钢板与克氏针治疗掌指骨骨折的疗效对比分析[J].中国现代药物应用,2010,4(10):43~44.
[5]张志宇.手指骨折钢板内固定术后并发鹅颈畸形11例报告[J].实用手外科杂志,2012,4(2):82~83.
[6]胡洪涌,韩同坤,阳闽军,等.克氏针与微型钢板置入内固定治疗掌指骨骨折的比较[J].中国组织工程研究与临床康复,2011,15(26):4880~4884.