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外科研究与新技术（中英文）

外科研究与新技术 ›› 2019, Vol. 8 ›› Issue (4): 227-229.doi: 10.3969/j.issn.2095-378X.2019.04.002

• 论著 • 上一篇    下一篇

微型钢板螺钉内固定治疗掌骨骨折的疗效分析

陈贵忠1, 吕治国2   

  1. 1.宝鸡蔡家坡医院骨科,宝鸡 722405
    2.宝鸡市第五人民医院骨科,宝鸡 722405
  • 收稿日期:2019-06-27 出版日期:2019-12-28 发布日期:2020-09-14
  • 通讯作者: 吕治国,电子信箱:377843804@qq.com
  • 作者简介:陈贵忠(1981—),男,大学本科,主治医师,从事临床骨科疾病

Analysis on efficacy of micro-plate and screw internal fixation for metacarpal fracture

CHEN Guizhong1, LYU Zhiguo2   

  1. 1. Department of Orthopaedics, Baoji Caijiapo Hospital, Baoji 722405, China
    2. Department of Orthopaedics, the Fifth People’s Hospital of Baoji, Baoji 722405, China
  • Received:2019-06-27 Online:2019-12-28 Published:2020-09-14

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摘要： 目的 探讨微型钢板螺钉内固定用于治疗掌骨骨折的效果。方法 选取2016年1月—2018年12月采用微型钢板螺钉内固定进行治疗的80例(89处)掌骨骨折患者作为研究对象,对其临床资料进行回顾性分析。结果 平均住院时间(5.12±1.06) d;平均随访时间(11.36±3.95)个月;平均骨折愈合时间为(43.6±3.7) d;治疗优良率为95.51%;平均掌指关节总体活动度为(236.84±8.06)°;平均握力相比健侧丢失度为(2.61±0.21)%;并发症总发生率为7.50%。结论 微型钢板螺钉内固定用于治疗掌骨骨折治疗效果及预后良好,同时并发症发生率较低,安全有效。

关键词: 掌骨骨折, 内固定, 微型钢板, 螺钉

Abstract: Objective To investigate the effect of micro-plate and screw internal fixation on metacarpal fracture.Methods A total of 80 cases (89 fractures) of metacarpal fractures treated with micro-plate and screw internal fixation from January 2016 to December 2018 were selected in the study, and their clinical data were retrospectively analyzed.Results The average hospitalization duration was (5.12±1.06) d; the average follow-up time was (11.36±3.95) months; the average fracture healing time was (43.6±3.7) d; the excellent treatment rate was 95.51%; the average overall degree of metacarpal joint motion was (236.84±8.06)°; the average ratio of grip force loss in the affected to unaffected side was (2.61±0.21) %; the total incidence of complications was 7.50 %.Conclusion Micro-plate and screw internal fixation for the the treatment of metacarpal fracture has a good effect and prognosis, with a low incidence of complications and a high level of safety.

Key words: Metacarpal fracture, Internal fixation, Micro-plate, Screw

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